Provider Demographics
NPI:1821197955
Name:SABAI, MUSTAFA (DDS,PC)
Entity type:Individual
Prefix:DR
First Name:MUSTAFA
Middle Name:
Last Name:SABAI
Suffix:
Gender:M
Credentials:DDS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 MANNING BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1739
Mailing Address - Country:US
Mailing Address - Phone:518-459-2444
Mailing Address - Fax:518-459-2445
Practice Address - Street 1:165 MANNING BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1739
Practice Address - Country:US
Practice Address - Phone:518-459-2444
Practice Address - Fax:518-459-2445
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0498931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice