Provider Demographics
NPI:1710927140
Name:ABBOTT, HERBERT F (DPM)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:F
Last Name:ABBOTT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:HERBERT
Other - Middle Name:F
Other - Last Name:STRAUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 WEST 98TH ST
Mailing Address - Street 2:SUITE 1K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-663-3668
Mailing Address - Fax:212-663-3995
Practice Address - Street 1:220 WEST 98TH ST.
Practice Address - Street 2:SUITE 1K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:610-524-3338
Practice Address - Fax:610-524-1441
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004442-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1133520Medicaid
525580PVVMedicare ID - Type Unspecified
PA1133520Medicaid