Provider Demographics
NPI:1639662125
Name:SABRINA SHUE MD PLLC
Entity type:Organization
Organization Name:SABRINA SHUE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-227-9090
Mailing Address - Street 1:10 CHESTER AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5109
Mailing Address - Country:US
Mailing Address - Phone:914-227-9090
Mailing Address - Fax:
Practice Address - Street 1:10 CHESTER AVE FL 3
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5109
Practice Address - Country:US
Practice Address - Phone:914-227-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty