Provider Demographics
NPI:1467783928
Name:ABBONDANZA, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ABBONDANZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FLORENCE ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1702
Mailing Address - Country:US
Mailing Address - Phone:508-494-0605
Mailing Address - Fax:
Practice Address - Street 1:10 FLORENCE ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1702
Practice Address - Country:US
Practice Address - Phone:508-494-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency