Provider Demographics
NPI:1780206078
Name:ABARA, AMARACHI E (MD)
Entity Type:Individual
Prefix:DR
First Name:AMARACHI
Middle Name:E
Last Name:ABARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:127 S BROADWAY FL 3
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-4006
Mailing Address - Country:US
Mailing Address - Phone:914-378-7586
Mailing Address - Fax:914-378-7991
Practice Address - Street 1:127 S BROADWAY FL 3
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4006
Practice Address - Country:US
Practice Address - Phone:914-378-7586
Practice Address - Fax:914-378-7991
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY105434-1207Q00000X, 208D00000X
NY390200000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice