Provider Demographics
NPI:1114098985
Name:RABENOU, SARAH R (LCAT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:R
Last Name:RABENOU
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:R
Other - Last Name:WOLINSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCAT
Mailing Address - Street 1:7609 34TH AVE
Mailing Address - Street 2:#515
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2271
Mailing Address - Country:US
Mailing Address - Phone:917-848-0124
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0088501101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor