Provider Demographics
NPI:1760238323
Name:SABINO, HALEY
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:SABINO
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:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:BLOOMING GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:10914-0185
Mailing Address - Country:US
Mailing Address - Phone:845-774-6412
Mailing Address - Fax:
Practice Address - Street 1:15 OLD DOMINION RD
Practice Address - Street 2:
Practice Address - City:BLOOMING GROVE
Practice Address - State:NY
Practice Address - Zip Code:10914-5006
Practice Address - Country:US
Practice Address - Phone:845-774-6412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist