Provider Demographics
NPI:1699360958
Name:CABILI, HANNAH LEE M (PT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LEE M
Last Name:CABILI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 110TH ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4844
Mailing Address - Country:US
Mailing Address - Phone:718-302-1190
Mailing Address - Fax:718-305-1191
Practice Address - Street 1:7120 110TH ST
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4844
Practice Address - Country:US
Practice Address - Phone:718-302-1190
Practice Address - Fax:718-305-1191
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046486225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist