MEDICARE: SABRINA JOY FACCIPONTE

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	104100000X	Social Worker	129848	NY

General Provider Information

NPI Number	:	1558216507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA JOY FACCIPONTE

Provider Business Mailing Address
First Line	:	1598 GRUNDY AVE
Second Line	:
City	:	HOLBROOK
State	:	NY
Zip	:	11741-2122
Country	:	US
Telephone Number	:	631-560-4469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1727 N OCEAN AVE
Second Line	:
City	:	MEDFORD
State	:	NY
Zip	:	11763-2649
Country	:	US
Telephone Number	:	631-654-1919
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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