Provider Demographics
NPI:1649995846
Name:RAINERI, SABRINA NICOLE (AUD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:NICOLE
Last Name:RAINERI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:SABRINA
Other - Middle Name:NICOLE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:73A E OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4200
Mailing Address - Country:US
Mailing Address - Phone:516-520-8736
Mailing Address - Fax:
Practice Address - Street 1:73A E OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4200
Practice Address - Country:US
Practice Address - Phone:516-520-8736
Practice Address - Fax:516-433-4840
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003134231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003134OtherSTATE LICENSE
NY14000069643OtherSTATE DISPENSING LICENSE