NPI 1366201808 · live from the CMS NPI Registry
Vincent Abanilla, PA-C
Physician Assistant in Brooklyn, NY. National Provider Identifier 1366201808, active.
NPI record
| NPI | 1366201808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1 University Plz, Brooklyn, NY 11201 |
| Practice phone | 973-780-7906 |
| Mailing address | 138 Plenge Dr, Belleville, NJ 07109 |
| Enumerated | March 18, 2024 |
| Last updated | March 19, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 031597 (NY) |
| Physician Assistant, Surgical | 363AS0400X | 031597 (NY) |
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.