Provider Demographics
NPI:1235837048
Name:VENE, SABRINA VICTORIA
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:VICTORIA
Last Name:VENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-3108
Mailing Address - Country:US
Mailing Address - Phone:631-871-0650
Mailing Address - Fax:
Practice Address - Street 1:54 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-3108
Practice Address - Country:US
Practice Address - Phone:631-871-0650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist