Provider Demographics
NPI:1679120679
Name:ZABERTO, KARIN
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:ZABERTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:
Other - Last Name:MERRINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:23 MCKAY RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-1316
Mailing Address - Country:US
Mailing Address - Phone:516-860-8257
Mailing Address - Fax:
Practice Address - Street 1:635 BELLE TERRE RD STE 209
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-1987
Practice Address - Country:US
Practice Address - Phone:631-474-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309205363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health