Healthcare Provider Details

I. General information

NPI: 1750196796
Provider Name (Legal Business Name): SANA SABIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6222 JERICHO TPKE
COMMACK NY
11725-2801
US

IV. Provider business mailing address

17 NOBLE ST
NORTH BABYLON NY
11703-1810
US

V. Phone/Fax

Practice location:
  • Phone: 631-499-9393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number065671
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: