Provider Demographics
NPI:1699987289
Name:ABEKASSIS, ANAT (RPAC)
Entity type:Individual
Prefix:MRS
First Name:ANAT
Middle Name:
Last Name:ABEKASSIS
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:MRS
Other - First Name:ANAT
Other - Middle Name:
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPAC
Mailing Address - Street 1:957 CEDARHURST ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2716
Mailing Address - Country:US
Mailing Address - Phone:516-295-2022
Mailing Address - Fax:
Practice Address - Street 1:1ST AVE & 27TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-562-3776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0065381363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant