Healthcare Provider Details

I. General information

NPI: 1023908498
Provider Name (Legal Business Name): SABRINA MARIE YEKTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1255 S CEDAR CREST BLVD STE 2600
ALLENTOWN PA
18103-6240
US

IV. Provider business mailing address

15 POND VIEW RD
CHESTER NJ
07930-3124
US

V. Phone/Fax

Practice location:
  • Phone: 610-770-1606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA066781
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: