Provider Demographics
NPI:1033550405
Name:CAMMAN, SARA ANN (MSED)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ANN
Last Name:CAMMAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 OAKLEY DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-3116
Mailing Address - Country:US
Mailing Address - Phone:585-314-8816
Mailing Address - Fax:
Practice Address - Street 1:12 OAKLEY DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3116
Practice Address - Country:US
Practice Address - Phone:585-314-8816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-18-30772103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst