Provider Demographics
NPI:1235431040
Name:SHARON SAKA ASSOCIATES
Entity Type:Organization
Organization Name:SHARON SAKA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKA
Authorized Official - Suffix:
Authorized Official - Credentials:RD CDN
Authorized Official - Phone:845-357-0166
Mailing Address - Street 1:2 EXECUTIVE BLVD
Mailing Address - Street 2:STE 203
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4164
Mailing Address - Country:US
Mailing Address - Phone:845-357-0166
Mailing Address - Fax:845-357-0249
Practice Address - Street 1:2 EXECUTIVE BLVD
Practice Address - Street 2:STE 203
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4164
Practice Address - Country:US
Practice Address - Phone:845-357-0166
Practice Address - Fax:845-357-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000117-1133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Single Specialty