Provider Demographics
NPI:1255069407
Name:SABO, WESLEY ALBERT
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:ALBERT
Last Name:SABO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4908 UPPER HOLLEY RD
Mailing Address - Street 2:
Mailing Address - City:HOLLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14470-9505
Mailing Address - Country:US
Mailing Address - Phone:585-500-8252
Mailing Address - Fax:
Practice Address - Street 1:4908 UPPER HOLLEY RD
Practice Address - Street 2:
Practice Address - City:HOLLEY
Practice Address - State:NY
Practice Address - Zip Code:14470-9505
Practice Address - Country:US
Practice Address - Phone:585-500-8252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)