Provider Demographics
NPI:1366709529
Name:JABBOUR, SARAH SIGALIT (PSYD)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:SIGALIT
Last Name:JABBOUR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6779 FLEET ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4116
Mailing Address - Country:US
Mailing Address - Phone:917-531-6234
Mailing Address - Fax:
Practice Address - Street 1:6779 FLEET ST
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4116
Practice Address - Country:US
Practice Address - Phone:917-531-6234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1074810103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool