Provider Demographics
NPI:1225685993
Name:SADEK, SARA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:SADEK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 IRVING PL FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2237
Mailing Address - Country:US
Mailing Address - Phone:971-400-9377
Mailing Address - Fax:
Practice Address - Street 1:67 IRVING PL FL 6
Practice Address - Street 2:SUITE #1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2237
Practice Address - Country:US
Practice Address - Phone:971-400-9377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023327103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist