Provider Demographics
NPI:1174699201
Name:KRISS, SABINA (MD)
Entity type:Individual
Prefix:
First Name:SABINA
Middle Name:
Last Name:KRISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SABINA
Other - Middle Name:
Other - Last Name:ZAVOLKOVSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12 AVON PL
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7701
Mailing Address - Country:US
Mailing Address - Phone:718-926-7444
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-8919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09926400207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA09926400OtherMEDICAL LICENSE