Provider Demographics
NPI:1639907934
Name:CIACCIO, SABINA ELIZABETH (AUD)
Entity type:Individual
Prefix:DR
First Name:SABINA
Middle Name:ELIZABETH
Last Name:CIACCIO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1829
Mailing Address - Country:US
Mailing Address - Phone:516-457-3027
Mailing Address - Fax:
Practice Address - Street 1:128 MOTT ST STE 509
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5575
Practice Address - Country:US
Practice Address - Phone:212-966-3886
Practice Address - Fax:212-966-2886
Is Sole Proprietor?:No
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003267231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist