Individual
SABRI SELLAOUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4198
(607) 352-3550
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 352-3550
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
722513
NY
363L00000X
Nurse Practitioner
Primary
310398
NY
Other
Enumeration date
05/06/2021
Last updated
03/20/2023
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