Provider Demographics
NPI:1336212182
Name:ABU-SBAIH, YOUSEF (MD)
Entity Type:Individual
Prefix:
First Name:YOUSEF
Middle Name:
Last Name:ABU-SBAIH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:YOUSEF
Other - Middle Name:
Other - Last Name:SBAIH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:86 W ONEIDA ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-2543
Mailing Address - Country:US
Mailing Address - Phone:315-342-4510
Mailing Address - Fax:315-342-4513
Practice Address - Street 1:86 W ONEIDA ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2543
Practice Address - Country:US
Practice Address - Phone:315-342-4510
Practice Address - Fax:315-342-4513
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124953207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
33D0165858OtherCLIA
B81394Medicare UPIN
35052BMedicare ID - Type Unspecified