Individual
MR. JUSTIN VERCELES SABAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
112 JOHNSON AVE, TEANECK, NJ 07666-4216
(201) 647-5179
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
26NJ01341800
NJ
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
350544
NY
Other
Enumeration date
10/13/2021
Last updated
09/04/2024
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