MEDICARE: DR. MICHAEL D SABLE M. D.

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	207W00000X	Ophthalmology Physician	200226-1	NY

General Provider Information

NPI Number	:	1891788337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL D SABLE M. D.

Provider Business Mailing Address
First Line	:	825 E GATE BLVD STE 111
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-2136
Country	:	US
Telephone Number	:	516-804-5200
Fax Number	:	516-240-6540

Provider Business Practice Location Address
First Line	:	400 S OYSTER BAY RD STE 303
Second Line	:
City	:	HICKSVILLE
State	:	NY
Zip	:	11801-3500
Country	:	US
Telephone Number	:	516-681-3939
Fax Number	:	516-681-0297

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	01/10/2022

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