Provider Demographics
NPI:1790674737
Name:SPITZFADEN, ABIGAIL CAROLYN (NP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:CAROLYN
Last Name:SPITZFADEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:14 QUAIL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2545
Mailing Address - Country:US
Mailing Address - Phone:914-924-8930
Mailing Address - Fax:
Practice Address - Street 1:66 MIDDLEBUSH RD STE 302
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4076
Practice Address - Country:US
Practice Address - Phone:914-475-4963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF35692001363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily