Healthcare Provider Details

I. General information

NPI: 1508918111
Provider Name (Legal Business Name): SARAH HELENE ISBITSKY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 S OYSTER BAY RD
BETHPAGE NY
11714-1030
US

IV. Provider business mailing address

9 BRIAN ST
PLAINVIEW NY
11803-2101
US

V. Phone/Fax

Practice location:
  • Phone: 516-622-8888
  • Fax: 516-342-2480
Mailing address:
  • Phone: 516-349-7367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number074796-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: