Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 223963 | NY |
N | 111NI0900X | Internist | 223963 | NY |
N | 207RC0200X | Critical Care Medicine | 223963 | NY |
N | 207RP1001X | Pulmonary Disease | 042-0011093 | VT |
Y | 207RP1001X | Pulmonary Disease | 223963 | NY |
N | 207RS0012X | Sleep Medicine | 042-0011093 | VT |
N | 207RS0012X | Sleep Medicine | 223963 | NY |
NPI | 1063505592 |
---|---|
Provider Name | Dr. Sabieli Kabeli |
First Address | Plattsburgh, NY 12901 |
Second Address | Plattsburgh, NY 12901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 11/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02224000 | (05) | NY |
G61518 | (02) | NY |
P00073663 | RAILROAD MEDICARE (01) | NY |
RX4056 | VERMONT MEDICARE PTAN (01) | VT |