Provider Demographics
NPI:1760858591
Name:SABINO, SHIRLEY RAMOS (PT)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:RAMOS
Last Name:SABINO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14925 35TH AVE
Mailing Address - Street 2:FLUSHING
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3857
Mailing Address - Country:US
Mailing Address - Phone:929-239-1557
Mailing Address - Fax:
Practice Address - Street 1:14925 35TH AVE
Practice Address - Street 2:FLUSHING
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3857
Practice Address - Country:US
Practice Address - Phone:929-239-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-16
Last Update Date:2015-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038215-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist