Provider Demographics
NPI:1235330283
Name:ABIKOFF, CORI MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:CORI
Middle Name:MICHELLE
Last Name:ABIKOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ROCKLEDGE AVE APT 1109
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1214
Mailing Address - Country:US
Mailing Address - Phone:412-780-8352
Mailing Address - Fax:
Practice Address - Street 1:19 SKYLINE DRIVE
Practice Address - Street 2:DEPARTMENT OF HEMATOLOGY ONCOLOGY NYMC
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-594-2130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT188834208000000X
WAMD60150963208000000X
NY2720972080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics