Provider Demographics
NPI:1407536238
Name:SANDERS, SARA YARNALL (DVM, LP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:YARNALL
Last Name:SANDERS
Suffix:
Gender:F
Credentials:DVM, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W 103RD ST APT 8D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4488
Mailing Address - Country:US
Mailing Address - Phone:585-415-9974
Mailing Address - Fax:
Practice Address - Street 1:5 W 86TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3663
Practice Address - Country:US
Practice Address - Phone:585-415-9974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001165102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst