Provider Demographics
NPI:1194557744
Name:AHARON, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:AHARON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:792 COLUMBUS AVE APT 4S
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5105
Mailing Address - Country:US
Mailing Address - Phone:917-623-4686
Mailing Address - Fax:
Practice Address - Street 1:792 COLUMBUS AVE APT 4S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5105
Practice Address - Country:US
Practice Address - Phone:917-623-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical