Provider Demographics
NPI:1366510091
Name:ADIRONDACK PULMONARY & SLEEP MEDICINE PLLC
Entity type:Organization
Organization Name:ADIRONDACK PULMONARY & SLEEP MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SABIELI
Authorized Official - Middle Name:
Authorized Official - Last Name:KABELI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-562-9119
Mailing Address - Street 1:142 BOYNTON AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901
Mailing Address - Country:US
Mailing Address - Phone:518-562-9119
Mailing Address - Fax:518-562-0900
Practice Address - Street 1:142 BOYNTON AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901
Practice Address - Country:US
Practice Address - Phone:518-562-9119
Practice Address - Fax:518-562-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223963207RS0012X, 207RP1001X
VT042-0011093207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTRX4056OtherMEDICARE VERMONT
NY02224000Medicaid
NYDA8263OtherRAILROAD MEDICARE
NYDA8263OtherRAILROAD MEDICARE