Provider Demographics
NPI:1467452441
Name:ABESS, GERARD F (MD)
Entity Type:Individual
Prefix:
First Name:GERARD
Middle Name:F
Last Name:ABESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 IRONGATE CENTER
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3471
Mailing Address - Country:US
Mailing Address - Phone:518-793-4409
Mailing Address - Fax:518-793-5886
Practice Address - Street 1:3 IRONGATE CENTER
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3471
Practice Address - Country:US
Practice Address - Phone:518-793-4409
Practice Address - Fax:518-793-5886
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176945207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01180721Medicaid
NY5117239OtherAETNA
NY10000005OtherCDPHP
NY10474629OtherCAQH
NY56824OtherGHI-HMO
NY00020677801OtherUNIVERA
NY000401121001OtherBLUE SHIELD NENY
NY021200700120OtherFIDELIS
NY08156OtherMVP
NYNY0042801OtherTRICARE
NY46F601OtherBLUE CROSS BLUE SHIELD
NY000401121001OtherBLUE SHIELD WNY
NY0022244OtherGHI
NY01180721Medicaid
NYE70508Medicare UPIN