Provider Demographics
NPI:1154866275
Name:ENGLISH, SARA I
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:ENGLISH
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 1:26 BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1026
Mailing Address - Country:US
Mailing Address - Phone:914-466-4474
Mailing Address - Fax:
Practice Address - Street 1:26 BIRCHWOOD DR
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1026
Practice Address - Country:US
Practice Address - Phone:914-466-4474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029418225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist