Provider Demographics
NPI:1023300506
Name:WOHL, ABBY (RN)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:
Last Name:WOHL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15460 24TH RD
Mailing Address - Street 2:PH
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3731
Mailing Address - Country:US
Mailing Address - Phone:718-216-8812
Mailing Address - Fax:
Practice Address - Street 1:15460 24TH RD
Practice Address - Street 2:PH
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3731
Practice Address - Country:US
Practice Address - Phone:718-216-8812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY641242-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse