Provider Demographics
NPI:1649285123
Name:ABARIENTOS, ANTONIETA CYRINDA (MD)
Entity type:Individual
Prefix:DR
First Name:ANTONIETA
Middle Name:CYRINDA
Last Name:ABARIENTOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANTONIETA
Other - Middle Name:CYRINDA
Other - Last Name:LATORRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1019
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-0819
Mailing Address - Country:US
Mailing Address - Phone:914-637-1357
Mailing Address - Fax:
Practice Address - Street 1:16 GUION PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5503
Practice Address - Country:US
Practice Address - Phone:914-632-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241059207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02840715Medicaid
NY02840715Medicaid
NY279SE1Medicare PIN