Provider Demographics
NPI:1669606869
Name:DRUCKER, ABBY THELMA (RN, ANP)
Entity type:Individual
Prefix:MS
First Name:ABBY
Middle Name:THELMA
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 RIVERSIDE DR
Mailing Address - Street 2:ROOM 241
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10115-0002
Mailing Address - Country:US
Mailing Address - Phone:212-870-3053
Mailing Address - Fax:212-870-2401
Practice Address - Street 1:475 RIVERSIDE DR
Practice Address - Street 2:ROOM 241
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10115-0002
Practice Address - Country:US
Practice Address - Phone:212-870-3053
Practice Address - Fax:212-870-2401
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF300254-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF300254-1OtherADULT NURSE PRACTITIONER LICENSE