Provider Demographics
NPI:1962407619
Name:SADOWSKY, GABRIELLE
Entity type:Individual
Prefix:DR
First Name:GABRIELLE
Middle Name:
Last Name:SADOWSKY
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 1:1101 BRICKELL AVE
Mailing Address - Street 2:SUITE: 401 - NORTH TOWER
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2702 N 3RD ST
Practice Address - Street 2:STE 1014
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1130
Practice Address - Country:US
Practice Address - Phone:602-279-0003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-18
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1350231H00000X, 237600000X
NM5965231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ640004720OtherRAILROAD MEDICARE
AZ621921Medicaid
AZ01089518OtherASHA CERTIFICATION
AZAZ0901110OtherBLUE CROSS BLUE SHIELD OF ARIZONA
AZDA1350OtherSTATE LICENSE
AZDA1350OtherSTATE LICENSE
AZ66353Medicare PIN