Provider Demographics
NPI:1285884015
Name:CAMPBELL, ABBY
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 PARK AVE S
Mailing Address - Street 2:401
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8804
Mailing Address - Country:US
Mailing Address - Phone:212-481-2500
Mailing Address - Fax:212-481-8157
Practice Address - Street 1:386 PARK AVE S
Practice Address - Street 2:401
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8804
Practice Address - Country:US
Practice Address - Phone:212-481-2500
Practice Address - Fax:212-481-8157
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program