Provider Demographics
NPI:1407464761
Name:ABRAHAM, SARI (MS RDN)
Entity Type:Individual
Prefix:
First Name:SARI
Middle Name:
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MS RDN
Other - Prefix:
Other - First Name:SARI
Other - Middle Name:
Other - Last Name:IMBERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS RDN
Mailing Address - Street 1:360 W 22ND ST APT 15E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2634
Mailing Address - Country:US
Mailing Address - Phone:646-406-2428
Mailing Address - Fax:
Practice Address - Street 1:360 W 22ND ST APT 15E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2634
Practice Address - Country:US
Practice Address - Phone:646-406-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86040044133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered