Provider Demographics
NPI:1659048916
Name:ATHERLEY, SABINE
Entity Type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:ATHERLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CORNELL ST
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-2129
Mailing Address - Country:US
Mailing Address - Phone:631-835-5284
Mailing Address - Fax:
Practice Address - Street 1:41 CORNELL ST
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-2129
Practice Address - Country:US
Practice Address - Phone:631-835-5284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator