Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 231604-1 | NY |
NPI | 1205902087 |
---|---|
Provider Name | Reem Abu-Sbaih |
First Address | Old Westbury, NY 11568-0210 |
Second Address | Old Westbury, NY 11568-0210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2006 |
Last Update Date | 25/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I23445 | (02) | NY |