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NPI Code Detail

MEDICARE: SABRINA MARIE IASELLO

MEDICARE: SABRINA MARIE IASELLO
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1972162378
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA MARIE IASELLO
Provider Business Mailing Address
First Line : 70 LOCUST AVE
Second Line :
City : ROCKVILLE CENTRE
State : NY
Zip : 11570-2931
Country : US
Telephone Number : 516-680-0958
Fax Number :
Provider Business Practice Location Address
First Line : 1201 66TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-5914
Country : US
Telephone Number : 718-259-4389
Fax Number : 718-259-4218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 06/10/2019

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Directions to “ SABRINA MARIE IASELLO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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