Healthcare Provider Details

I. General information

NPI: 1992093116
Provider Name (Legal Business Name): SABRINA LAW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE G-0035
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

3959 BROADWAY
NEW YORK NY
10032-1559
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2015
  • Fax:
Mailing address:
  • Phone: 212-305-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number60225580
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number277834
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: