Individual
MRS. DIANE M. SABANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
40 THOMPSON ST, BALLSTON SPA, NY 12020-1324
(518) 885-7300
Mailing address
21 LANCASTER CT, BALLSTON LAKE, NY 12019-1938
(518) 495-1053
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
NY310489
NY
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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