Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 02969 | RI |
Y | 1223X0400X | Orthodontists | 054291-1 | NY |
N | 1223X0400X | Orthodontists | 21600 | MA |
NPI | 1033301890 |
---|---|
Provider Name | Dr. Romey Jack Sabnani |
First Address | Lynbrook, NY 11563-2406 |
Second Address | Lynbrook, NY 11563-2406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2007 |
Last Update Date | 23/01/2017 |