Provider Demographics
NPI:1215024898
Name:LAURO, SEJAL R (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:SEJAL
Middle Name:R
Last Name:LAURO
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:MS
Other - First Name:SEJAL
Other - Middle Name:R
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:50 DAYTONLANE, SUITE 202
Mailing Address - Street 2:THE WESTCHESTER MEDICAL PRACTICE PC
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3611
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:211 S DIVISION ST
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-3611
Practice Address - Country:US
Practice Address - Phone:914-736-0400
Practice Address - Fax:914-736-9632
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006617-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY970023444OtherRR MC-PALMETTO GBA
NYP15734Medicare UPIN
NY0F8481Medicare ID - Type Unspecified