Provider Demographics
NPI:1538936810
Name:SAPKOTA, SAJANA
Entity type:Individual
Prefix:
First Name:SAJANA
Middle Name:
Last Name:SAPKOTA
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 1:177 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3009
Mailing Address - Country:US
Mailing Address - Phone:315-343-2151
Mailing Address - Fax:315-343-2100
Practice Address - Street 1:177 W 4TH ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-3009
Practice Address - Country:US
Practice Address - Phone:315-343-2151
Practice Address - Fax:315-343-2100
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY352099363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner