Provider Demographics
NPI:1497907604
Name:ABBATE, COLLEEN MARY (PT)
Entity Type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:MARY
Last Name:ABBATE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:COLLEEN
Other - Middle Name:MARY
Other - Last Name:TOMAJER-ABBATE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7091 SUZANNE LN
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5247
Mailing Address - Country:US
Mailing Address - Phone:518-356-9656
Mailing Address - Fax:
Practice Address - Street 1:7091 SUZANNE LN
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5247
Practice Address - Country:US
Practice Address - Phone:518-356-9656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006260-1172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist