Provider Demographics
NPI:1891062774
Name:ABE PHLEBOTOMY & HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:ABE PHLEBOTOMY & HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABID
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-404-6894
Mailing Address - Street 1:29 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2528
Mailing Address - Country:US
Mailing Address - Phone:516-596-7442
Mailing Address - Fax:516-568-3136
Practice Address - Street 1:29 BROADWAY
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2528
Practice Address - Country:US
Practice Address - Phone:516-596-7442
Practice Address - Fax:516-568-3136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility