Provider Demographics
NPI:1518243559
Name:ABBASEY MEDICAL PLLC
Entity Type:Organization
Organization Name:ABBASEY MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:ABBASEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-243-0550
Mailing Address - Street 1:4263 LAKEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-1179
Mailing Address - Country:US
Mailing Address - Phone:585-243-0550
Mailing Address - Fax:
Practice Address - Street 1:4263 LAKEVILLE RD
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1179
Practice Address - Country:US
Practice Address - Phone:585-243-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231805207R00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty