Provider Demographics
NPI:1225276462
Name:MAYERHOFF, SARA (MS)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:MAYERHOFF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CARLTON RD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2521
Mailing Address - Country:US
Mailing Address - Phone:845-425-2676
Mailing Address - Fax:
Practice Address - Street 1:32 CARLTON RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2521
Practice Address - Country:US
Practice Address - Phone:845-304-0334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY494286174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist