Provider Demographics
NPI:1790817195
Name:SABBAGH, KAREN DOROTHY (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:DOROTHY
Last Name:SABBAGH
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1649
Mailing Address - Country:US
Mailing Address - Phone:718-815-1866
Mailing Address - Fax:
Practice Address - Street 1:161 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1649
Practice Address - Country:US
Practice Address - Phone:718-815-1866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY584355-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse