Provider Demographics
NPI:1184614596
Name:SABINSKY, RICHARD N (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:N
Last Name:SABINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:55 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-1043
Mailing Address - Country:US
Mailing Address - Phone:631-361-3363
Mailing Address - Fax:631-361-3579
Practice Address - Street 1:55 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-1043
Practice Address - Country:US
Practice Address - Phone:631-361-3363
Practice Address - Fax:631-361-3579
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY163066207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00961606Medicaid
NY880521Medicare ID - Type Unspecified
NY00961606Medicaid