Basic Information
| Provider Information | |||||||||
| NPI: | 1720180003 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABATE | ||||||||
| FirstName: | CHARLES | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 S BEDFORD RD | ||||||||
| Address2: | CARE MOUNT MEDICAL, P.C | ||||||||
| City: | MOUNT KISCO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105493446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142411050 | ||||||||
| FaxNumber: | 9142421516 | ||||||||
| Practice Location | |||||||||
| Address1: | 310 N HIGHLAND AVE | ||||||||
| Address2: | CARE MOUNT MEDICAL, P.C | ||||||||
| City: | OSSINING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105626300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147624141 | ||||||||
| FaxNumber: | 9147628350 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2006 | ||||||||
| LastUpdateDate: | 11/11/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 1700991 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RP1001X | 170099 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 01349173 | 05 | NY | MEDICAID | P01054302 | 01 | NY | MEDICARE RAILROAD | OTHER | 1720180003 | 01 | NPI | OTHER |