Provider Demographics
NPI:1063505592
Name:KABELI, SABIELI (MD)
Entity Type:Individual
Prefix:DR
First Name:SABIELI
Middle Name:
Last Name:KABELI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 BOYNTON AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901
Mailing Address - Country:US
Mailing Address - Phone:518-562-9119
Mailing Address - Fax:518-562-9009
Practice Address - Street 1:142 BOYNTON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901
Practice Address - Country:US
Practice Address - Phone:518-562-9119
Practice Address - Fax:518-562-9009
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223963207RP1001X, 207RS0012X, 207RC0200X, 207R00000X
VT042-0011093207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00073663OtherRAILROAD MEDICARE
NY02224000Medicaid
VTRX4056OtherVERMONT MEDICARE PTAN
NYP00073663OtherRAILROAD MEDICARE
NY02224000Medicaid