Provider Demographics
NPI:1508940800
Name:GRITTA, SABINA A (MA)
Entity Type:Individual
Prefix:MS
First Name:SABINA
Middle Name:A
Last Name:GRITTA
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 1:5532 NETHERLAND AVE
Mailing Address - Street 2:# 1G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2329
Mailing Address - Country:US
Mailing Address - Phone:718-601-1278
Mailing Address - Fax:
Practice Address - Street 1:1090 SAINT NICHOLAS AVE
Practice Address - Street 2:BSMT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3809
Practice Address - Country:US
Practice Address - Phone:212-543-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003273-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health