Provider Demographics
NPI:1447405857
Name:SARABIA, YAMIL (LMT)
Entity Type:Individual
Prefix:MS
First Name:YAMIL
Middle Name:
Last Name:SARABIA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 AUDREY AVE
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-1522
Mailing Address - Country:US
Mailing Address - Phone:516-624-8244
Mailing Address - Fax:516-624-8552
Practice Address - Street 1:27 AUDREY AVE
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-1522
Practice Address - Country:US
Practice Address - Phone:516-624-8244
Practice Address - Fax:516-624-8552
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015120225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist