Provider Demographics
NPI:1588245567
Name:TERRY, SABRINA JOYCE
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:JOYCE
Last Name:TERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 W 24TH ST APT 18A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2245
Mailing Address - Country:US
Mailing Address - Phone:347-495-0014
Mailing Address - Fax:
Practice Address - Street 1:2960 W 24TH ST APT 18A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2245
Practice Address - Country:US
Practice Address - Phone:347-495-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist