Basic Information
Provider Information
NPI: 1669783817
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SABEL
FirstName: MARGARITA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: MARGARITA SABEL
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SABEL
OtherFirstName: MARGARITA
OtherMiddleName:  
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: MARGARITA SABEL
OtherLastNameType: 2
Mailing Information
Address1: 1651 CONEY ISLAND AVE
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112305849
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1651 CONEY ISLAND AVE
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112305849
CountryCode: US
TelephoneNumber: 7189981415
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2010
LastUpdateDate: 12/29/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X019161NYY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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