Provider Demographics
NPI:1629629159
Name:SABINNE K SHEPELSKY
Entity Type:Organization
Organization Name:SABINNE K SHEPELSKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPELSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-327-3335
Mailing Address - Street 1:1500 REISTERSTOWN RD STE 224
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3836
Mailing Address - Country:US
Mailing Address - Phone:410-559-6993
Mailing Address - Fax:
Practice Address - Street 1:1500 REISTERSTOWN RD STE 224
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3836
Practice Address - Country:US
Practice Address - Phone:410-559-6993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SABINNE K SHEPELSKY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Single Specialty