Provider Demographics
NPI:1386712883
Name:SAPNA WESTLEY, M.D. PC
Entity type:Organization
Organization Name:SAPNA WESTLEY, M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SAPNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-274-0800
Mailing Address - Street 1:77 MERCER ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-4460
Mailing Address - Country:US
Mailing Address - Phone:212-274-0800
Mailing Address - Fax:212-274-1999
Practice Address - Street 1:77 MERCER ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4460
Practice Address - Country:US
Practice Address - Phone:212-274-0800
Practice Address - Fax:212-274-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211411207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH32118Medicare UPIN
NYA100000302Medicare PIN