Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Abizadeh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891615399

Brandon Abizadeh is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1699
Phone: (917) 578-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1891615399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address355 Bard Ave, Staten Island, NY 10310-1699

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