Individual
SABRINA LYNNE ALFASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
90 BERGEN ST FL 7, NEWARK, NJ 07103-2425
(973) 972-8092
(973) 972-8567
Mailing address
30 BERGEN ST RM 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
023201
NY
363A00000X
Physician Assistant
Primary
25MP00515400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0683442
—
NJ
Enumeration date
03/14/2019
Last updated
02/13/2020
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