Provider Demographics
NPI:1497849350
Name:ABELLARD, HEROLD (MD)
Entity type:Individual
Prefix:
First Name:HEROLD
Middle Name:
Last Name:ABELLARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 MAGENTA ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3713
Mailing Address - Country:US
Mailing Address - Phone:718-881-3776
Mailing Address - Fax:718-881-3776
Practice Address - Street 1:4742 WHITE PLAINS RD STE 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1117
Practice Address - Country:US
Practice Address - Phone:718-231-4601
Practice Address - Fax:718-231-5609
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2287452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry