Basic Information
Provider Information
NPI: 1245491232
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABERG
FirstName: CAROLINE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 536 E 82ND ST APT 3C
Address2:  
City: NEW YORK
State: NY
PostalCode: 100287129
CountryCode: US
TelephoneNumber: 6319213549
FaxNumber:  
Practice Location
Address1: 560 1ST AVE
Address2: NYU MEDICAL CENTER, RUSK 232, RADIOLOGY DEPARTMENT
City: NEW YORK
State: NY
PostalCode: 100166402
CountryCode: US
TelephoneNumber: 2122637300
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/23/2008
LastUpdateDate: 02/19/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X253855NYY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home