Individual provider · Type 1 NPI

Brian Misael Roman Abbott, MD

Student in an Organized Health Care Education/Training Program · Far Rockaway, NY

NPI number 1245102490 Active

Practice location

327 Beach 19th St
Far Rockaway, NY 11691-4423

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245102490

Brian Misael Roman Abbott, MD's National Provider Identifier is 1245102490, issued on Sep 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Far Rockaway, NY. The record was last updated on May 15, 2026.