Provider Demographics
NPI:1962552505
Name:SAPOSH, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SAPOSH
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 1:1730 46TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1211
Mailing Address - Country:US
Mailing Address - Phone:718-438-9497
Mailing Address - Fax:718-438-2640
Practice Address - Street 1:4619 18TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1293
Practice Address - Country:US
Practice Address - Phone:718-438-9497
Practice Address - Fax:718-438-2640
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter