Provider Demographics
NPI:1174277701
Name:BRUMBERGER, SARAH MAE (LAC)
Entity Type:Individual
Prefix:
First Name:SARAH MAE
Middle Name:
Last Name:BRUMBERGER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 W 85TH ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4508
Mailing Address - Country:US
Mailing Address - Phone:845-750-7060
Mailing Address - Fax:
Practice Address - Street 1:39 W 56TH ST APT 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3906
Practice Address - Country:US
Practice Address - Phone:212-600-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist