Healthcare Provider Details

I. General information

NPI: 1336900208
Provider Name (Legal Business Name): JOANNE SABATINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 LAKE ST
RAMSEY NJ
07446-2089
US

IV. Provider business mailing address

84 ROGERS DR
LANDING NJ
07850-1721
US

V. Phone/Fax

Practice location:
  • Phone: 201-327-1990
  • Fax:
Mailing address:
  • Phone: 732-822-2674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00169900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: