MEDICARE: MRS. SABINA A. SEPTIMUS LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	075043	NY

General Provider Information

NPI Number	:	1326377110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SABINA A. SEPTIMUS LMSW

Provider Business Mailing Address
First Line	:	1031 E 26TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3715
Country	:	US
Telephone Number	:	718-338-0280
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 E. 26TH ST.
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3715
Country	:	US
Telephone Number	:	718-338-0280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	12/08/2009

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