Tabor, Adina Sara
Tabor, Adina Sara is an sole proprietor health care provider with primary practice located at 1050 Hallock Ave Rm 102 , Port Jefferson Station NY 11776-1214. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tabor, Adina Sara can be contacted via phone (856) 282-5590.Contact Information
Primary practice address
1050 Hallock Ave Rm 102
Port Jefferson Station NY 11776-1214
Phone: (856) 282-5590
Fax: (856) 320-9854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 093897 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 088375 | New York |
Profile Details
| NPI number | 1942757273 |
|---|---|
| LBN Legal business name | Tabor, Adina Sara |
| Credentials | LCSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2016 |
| Last updated | Apr 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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