Provider Demographics
NPI:1073377636
Name:ZABOROWSKI, NICHOLAS (MT-BC, NMT)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:ZABOROWSKI
Suffix:
Gender:M
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7935 REVERE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3436
Mailing Address - Country:US
Mailing Address - Phone:267-251-6078
Mailing Address - Fax:
Practice Address - Street 1:7935 REVERE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3436
Practice Address - Country:US
Practice Address - Phone:267-251-6078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist