Basic Information
Provider Information
NPI: 1386115590
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAAB
FirstName: WILLIAM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RRT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3090 NW 46TH AVE
Address2:  
City: LAUDERDALE LAKES
State: FL
PostalCode: 333131831
CountryCode: US
TelephoneNumber: 2134402238
FaxNumber:  
Practice Location
Address1: 300 CORPORATE BLVD S
Address2:  
City: YONKERS
State: NY
PostalCode: 107016862
CountryCode: US
TelephoneNumber: 9142946300
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/16/2018
LastUpdateDate: 12/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
227900000X009856NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered 

No ID Information.


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