Provider Demographics
NPI:1306264346
Name:CABAS, SEVDA (SP TEACHER)
Entity type:Individual
Prefix:MRS
First Name:SEVDA
Middle Name:
Last Name:CABAS
Suffix:
Gender:F
Credentials:SP TEACHER
Other - Prefix:MRS
Other - First Name:SEVDA
Other - Middle Name:
Other - Last Name:CABAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SP TEACHER
Mailing Address - Street 1:14 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3916
Mailing Address - Country:US
Mailing Address - Phone:516-773-6264
Mailing Address - Fax:
Practice Address - Street 1:14 TERRACE DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3916
Practice Address - Country:US
Practice Address - Phone:516-773-6264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-06
Last Update Date:2014-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY731852131174400000X
NY731810131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist