Provider Demographics
NPI:1114281938
Name:SOBELMAN, DOREEN (MA)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:
Last Name:SOBELMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:DOREEN
Other - Middle Name:
Other - Last Name:AINSLIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:1377 MOTOR PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-5249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1377 MOTOR PARKWAY
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-5249
Practice Address - Country:US
Practice Address - Phone:631-366-3876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist