Provider Demographics
NPI:1720180003
Name:ABATE, CHARLES J (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:J
Last Name:ABATE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CARE MOUNT MEDICAL, P.C
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:310 N HIGHLAND AVE
Practice Address - Street 2:CARE MOUNT MEDICAL, P.C
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-6300
Practice Address - Country:US
Practice Address - Phone:914-762-4141
Practice Address - Fax:914-762-8350
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1700991207R00000X
NY170099207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01349173Medicaid
NYP01054302OtherMEDICARE RAILROAD
1720180003OtherNPI
NY01349173Medicaid
NYP01054302OtherMEDICARE RAILROAD