Provider Demographics
NPI:1346543311
Name:SHEFTEL, SARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:SHEFTEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 WEST 86TH STREET
Mailing Address - Street 2:APT. 1104
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3332
Mailing Address - Country:US
Mailing Address - Phone:212-724-0159
Mailing Address - Fax:212-501-7831
Practice Address - Street 1:225 W 86TH ST
Practice Address - Street 2:APT. 1104
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3332
Practice Address - Country:US
Practice Address - Phone:212-724-0159
Practice Address - Fax:212-501-7831
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000172-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst