Provider Demographics
NPI:1982251047
Name:FLORES, SARAH MARY (LMT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARY
Last Name:FLORES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARY
Other - Last Name:CAIRNS-FLORES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:457 FDR DR APT A306
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5929
Mailing Address - Country:US
Mailing Address - Phone:646-246-9026
Mailing Address - Fax:
Practice Address - Street 1:48 W 21ST ST STE 909
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6993
Practice Address - Country:US
Practice Address - Phone:646-246-9026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023276-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist