MEDICARE: SABINAH EMMANUEL FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	587847	NY
2	363LF0000X	Family Nurse Practitioner	341088	NY

General Provider Information

NPI Number	:	1184963779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABINAH EMMANUEL FNP-BC

Provider Business Mailing Address
First Line	:	531 WADLEIGH AVE
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-3712
Country	:	US
Telephone Number	:	718-964-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	531 WADLEIGH AVE
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-3712
Country	:	US
Telephone Number	:	718-964-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2013
Last Update Date	:	04/09/2026

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