1467756890 NPI number — MRS. MARIA CECILIA GARCIA GAFFUD DPM

Table of content: GINA MARIE SABATINO LPC (NPI 1275279002)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467756890 NPI number — MRS. MARIA CECILIA GARCIA GAFFUD DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GAFFUD
Provider First Name:
MARIA CECILIA
Provider Middle Name:
GARCIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GARCIA
Provider Other First Name:
MARIA CELILIA
Provider Other Middle Name:
ORTEGA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPM
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1467756890
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
581 CHESTNUT STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDARHURST
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11516-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-569-2828
Provider Business Mailing Address Fax Number:
516-295-4145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
581 CHESTNUT STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CEDARHURST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11516-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-569-2828
Provider Business Practice Location Address Fax Number:
516-295-4145
Provider Enumeration Date:
12/28/2010

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: 213E00000X , with the licence number:  N005236 , 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)





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