Provider Demographics
NPI:1619385226
Name:SABRINA L. HARMATUK
Entity Type:Organization
Organization Name:SABRINA L. HARMATUK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HARMATUK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:315-546-4784
Mailing Address - Street 1:107 E CHAFFEE AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13207-2820
Mailing Address - Country:US
Mailing Address - Phone:315-546-4784
Mailing Address - Fax:
Practice Address - Street 1:107 E CHAFFEE AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13207-2820
Practice Address - Country:US
Practice Address - Phone:315-546-4784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care