Basic Information
| Provider Information | |||||||||
| NPI: | 1134515299 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REBIS | ||||||||
| FirstName: | SABINA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1030 BOULEVARD | ||||||||
| Address2: | |||||||||
| City: | WEST HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061191801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8609866440 | ||||||||
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| Practice Location | |||||||||
| Address1: | STONY BROOK UNIVERSITY HOSPITAL HSC | ||||||||
| Address2: | HSC 4-050 | ||||||||
| City: | STONY BROOK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11794 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143304089 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2015 | ||||||||
| LastUpdateDate: | 07/19/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 61422 | CT | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.