Provider Demographics
NPI:1477062461
Name:KOSKE, SABINA (MS CCC-SLP; TSSLD)
Entity Type:Individual
Prefix:
First Name:SABINA
Middle Name:
Last Name:KOSKE
Suffix:
Gender:F
Credentials:MS CCC-SLP; TSSLD
Other - Prefix:
Other - First Name:SABINA
Other - Middle Name:
Other - Last Name:KOSKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP; TSSLD
Mailing Address - Street 1:501 SURF AVE APT 10M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3534
Mailing Address - Country:US
Mailing Address - Phone:917-415-8550
Mailing Address - Fax:
Practice Address - Street 1:535 8TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4305
Practice Address - Country:US
Practice Address - Phone:917-415-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator