Provider Demographics
NPI:1912632720
Name:SOHN, SARAH JUDITH I
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JUDITH
Last Name:SOHN
Suffix:I
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 1:140 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2012
Mailing Address - Country:US
Mailing Address - Phone:516-660-3150
Mailing Address - Fax:
Practice Address - Street 1:140 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2012
Practice Address - Country:US
Practice Address - Phone:516-660-3150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician