Provider Demographics
NPI:1881773737
Name:ABIDI, OANA OLIVIA (MD)
Entity type:Individual
Prefix:DR
First Name:OANA
Middle Name:OLIVIA
Last Name:ABIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OANA
Other - Middle Name:OLIVIA
Other - Last Name:TALLE(MAIDEN)ANTOHI-FORMER MARRIAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 JAEGGER DR
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-1825
Mailing Address - Country:US
Mailing Address - Phone:516-671-0109
Mailing Address - Fax:516-671-0126
Practice Address - Street 1:300 GARDEN CITY PLZ
Practice Address - Street 2:SUITE 324
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-3302
Practice Address - Country:US
Practice Address - Phone:516-294-9036
Practice Address - Fax:516-294-9087
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2057682084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry