Provider Demographics
NPI:1003129172
Name:ADONUS, SABRINA
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:
Last Name:ADONUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 STERLING ROAD
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-1418
Mailing Address - Country:US
Mailing Address - Phone:917-945-5669
Mailing Address - Fax:
Practice Address - Street 1:645 WEST BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-2902
Practice Address - Country:US
Practice Address - Phone:516-889-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298605-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse