Provider Demographics
NPI:1225816101
Name:BETHEL SABIN, LLC
Entity Type:Organization
Organization Name:BETHEL SABIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BETHEL
Authorized Official - Middle Name:SARA
Authorized Official - Last Name:SABIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:954-295-9084
Mailing Address - Street 1:4720 41ST ST APT 1F
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-3607
Mailing Address - Country:US
Mailing Address - Phone:954-295-9084
Mailing Address - Fax:
Practice Address - Street 1:60 WEST STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222
Practice Address - Country:US
Practice Address - Phone:929-274-4140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty