Provider Demographics
NPI:1356827364
Name:DAHLMANN, SABRINA (MA)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:DAHLMANN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 BEACH 20TH ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-3502
Mailing Address - Country:US
Mailing Address - Phone:718-327-7163
Mailing Address - Fax:718-327-0044
Practice Address - Street 1:720 BEACH 20TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-3502
Practice Address - Country:US
Practice Address - Phone:718-327-7163
Practice Address - Fax:718-327-0044
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2020-04-29
Deactivation Date:2018-07-12
Deactivation Code:
Reactivation Date:2020-04-29
Provider Licenses
StateLicense IDTaxonomies
NYPERMIT225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist