1972505287 NPI number — DR. MARIE SABATINI M.D.

Table of content: DR. MARIE SABATINI M.D. (NPI 1972505287)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972505287 NPI number — DR. MARIE SABATINI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SABATINI
Provider First Name:
MARIE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972505287
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
510 ROUTE 304
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CITY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10956-3041
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-634-8400
Provider Business Mailing Address Fax Number:
845-634-0979

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
510 ROUTE 304
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10956-3041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-634-8400
Provider Business Practice Location Address Fax Number:
845-634-0979
Provider Enumeration Date:
06/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  226085 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7376405 . This is a "AETNA PPO ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000081575 . This is a "GHI HMO ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 226085 . This is a "HIP #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P2751305 . This is a "OXFORD #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3004996 . This is a "AETNA HMO ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3C9629 . This is a "HEALTHNET ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 676D02 . This is a "EMPIRE BC/BS STONY PT. #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 371106 . This is a "MVP ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P00047853 . This is a "RAILROAD MDCR #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0297442 . This is a "GHI PPO ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 132664 . This is a "CONNECTICARE #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 676D01 . This is a "EMPIRE BC/BS NEW CITY #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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