Provider Demographics
NPI:1457925893
Name:ABADIE, EDITH G
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:G
Last Name:ABADIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EDITH
Other - Middle Name:G
Other - Last Name:ABADIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 39TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4898
Mailing Address - Country:US
Mailing Address - Phone:551-655-7309
Mailing Address - Fax:
Practice Address - Street 1:THE FOUNDLING'S HEADQUARTERS
Practice Address - Street 2:
Practice Address - City:590 AVENUE OF AMERICAS
Practice Address - State:NY
Practice Address - Zip Code:10011-9904
Practice Address - Country:US
Practice Address - Phone:917-485-7527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246934-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse