Provider Demographics
NPI:1568500619
Name:ABBATE, KRISTIN MARIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:MARIE
Last Name:ABBATE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:MESSINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 BONARCK LN
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-1025
Mailing Address - Country:US
Mailing Address - Phone:516-426-8538
Mailing Address - Fax:
Practice Address - Street 1:8 BONARCK LN
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-1025
Practice Address - Country:US
Practice Address - Phone:516-426-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1740398251300000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No251300000XAgenciesLocal Education Agency (LEA)