Provider Demographics
NPI:1497706303
Name:SABATINO, KRISTINE M (CNM)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:M
Last Name:SABATINO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:M
Other - Last Name:BUMPUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:265 ROYCROFT BLVD
Mailing Address - Street 2:ATTN: KRISTINE SABATINO
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4819
Mailing Address - Country:US
Mailing Address - Phone:716-812-9187
Mailing Address - Fax:
Practice Address - Street 1:565 ABBOTT RD
Practice Address - Street 2:SOUTH BUFFALO MERCY HOSPITAL--DEPARTMENT OF OB/GYN
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2039
Practice Address - Country:US
Practice Address - Phone:716-828-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF0010231367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8494418Medicaid
NY8494418Medicaid
P47454Medicare UPIN