| Doctor Name: | MRS. DIANE M. SABANOS |
| NPI Number: | 1023389319 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | NY310489 |
| Business Practice Address: | 40 Thompson St Ballston Spa, NY - 120201324 |
| Business Phone Number: | 5188857300 |
| Business Fax Number: | |
| Mailing Address: | 21 Lancaster Ct, BALLSTON LAKE |
| State: | NY |
| Postal Code: | 120191938 |
| Phone Number: | 5184951053 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2012 |
| NPI Last Update Date: | 01/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | NY310489 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |