Provider Demographics
NPI:1558940296
Name:APPLE, AUREL SARA (DO)
Entity type:Individual
Prefix:DR
First Name:AUREL
Middle Name:SARA
Last Name:APPLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SEASIDE DR
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-1131
Mailing Address - Country:US
Mailing Address - Phone:631-848-6477
Mailing Address - Fax:
Practice Address - Street 1:54 W 21ST ST RM 307
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7373
Practice Address - Country:US
Practice Address - Phone:646-397-6377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318687207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology