Provider Demographics
NPI:1497797914
Name:ABADIR, ANNMARY (OD)
Entity type:Individual
Prefix:
First Name:ANNMARY
Middle Name:
Last Name:ABADIR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 MAMARONECK AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-2430
Mailing Address - Country:US
Mailing Address - Phone:914-949-9200
Mailing Address - Fax:914-949-4500
Practice Address - Street 1:450 MAMARONECK AVE STE 402
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-2430
Practice Address - Country:US
Practice Address - Phone:914-949-9200
Practice Address - Fax:914-949-4500
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006368152W00000X
NYTUV006368-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist