Provider Demographics
NPI:1497748446
Name:FOSKEY, SABRINA (NP)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:
Last Name:FOSKEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 BRADFORD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-5902
Mailing Address - Country:US
Mailing Address - Phone:718-385-1575
Mailing Address - Fax:718-257-4562
Practice Address - Street 1:1222 E 96TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3903
Practice Address - Country:US
Practice Address - Phone:718-257-3355
Practice Address - Fax:718-257-4562
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331753363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02197780Medicaid