Provider Demographics
NPI:1821545229
Name:ABATE, ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:ABATE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 HEBRON AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-5016
Mailing Address - Country:US
Mailing Address - Phone:860-410-4488
Mailing Address - Fax:860-410-4492
Practice Address - Street 1:730 HEBRON AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-5016
Practice Address - Country:US
Practice Address - Phone:860-410-4488
Practice Address - Fax:860-410-4492
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor