Provider Demographics
NPI:1770953838
Name:ELIZABETH L ABINSAY, MD, INC
Entity type:Organization
Organization Name:ELIZABETH L ABINSAY, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ABINSAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-841-3002
Mailing Address - Street 1:634 KALIHI ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4000
Mailing Address - Country:US
Mailing Address - Phone:808-841-3002
Mailing Address - Fax:808-841-4078
Practice Address - Street 1:634 KALIHI ST
Practice Address - Street 2:202
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4000
Practice Address - Country:US
Practice Address - Phone:808-841-3002
Practice Address - Fax:808-841-4078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8581261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care