Provider Demographics
NPI:1114328127
Name:TARZIK, SARAH (ATR-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TARZIK
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 FREDERICK PL
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-4105
Mailing Address - Country:US
Mailing Address - Phone:201-385-0932
Mailing Address - Fax:
Practice Address - Street 1:107 W TRYON AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3605
Practice Address - Country:US
Practice Address - Phone:201-385-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist