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NPI Code Detail

MEDICARE: EILEEN M SABELLA

MEDICARE: EILEEN M SABELLA
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
1225800000XRecreation Therapist

General Provider Information

NPI Number : 1457676546
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN M SABELLA
Provider Business Mailing Address
First Line : 31 INDUSTRIAL BLVD
Second Line :
City : MEDFORD
State : NY
Zip : 11763-2220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 31 INDUSTRIAL BLVD
Second Line :
City : MEDFORD
State : NY
Zip : 11763-2220
Country : US
Telephone Number : 631-924-4411
Fax Number : 631-924-0563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2010
Last Update Date : 03/31/2010

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Directions to “ EILEEN M SABELLA ” Practice Location

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