Provider Demographics
NPI:1922764505
Name:SHULBANK-SMITH, SARAH (MA, MT-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SHULBANK-SMITH
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 BROADWAY FL 10
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3454
Mailing Address - Country:US
Mailing Address - Phone:949-749-6085
Mailing Address - Fax:781-779-6646
Practice Address - Street 1:1115 BROADWAY FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3454
Practice Address - Country:US
Practice Address - Phone:949-749-6085
Practice Address - Fax:781-779-6646
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist