Provider Demographics
NPI:1952340853
Name:MICHAEL D SABLE, M.D. P.C.
Entity Type:Organization
Organization Name:MICHAEL D SABLE, M.D. P.C.
Other - Org Name:LONG ISLAND EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SABLE
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:516-766-5851
Mailing Address - Street 1:165 N VILLAGE AVE
Mailing Address - Street 2:SUITE 132
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3761
Mailing Address - Country:US
Mailing Address - Phone:516-766-5851
Mailing Address - Fax:516-766-5959
Practice Address - Street 1:165 N VILLAGE AVE
Practice Address - Street 2:SUITE 132
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3761
Practice Address - Country:US
Practice Address - Phone:516-766-5851
Practice Address - Fax:516-766-5959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200226207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB12417Medicare UPIN
NYG42233Medicare UPIN
NYE20394Medicare UPIN
NYH48497Medicare UPIN