Provider Demographics
NPI:1437602505
Name:YOUNER, SARA AMY (LAC)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:AMY
Last Name:YOUNER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S AUDLEN TER
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-2110
Mailing Address - Country:US
Mailing Address - Phone:908-400-2314
Mailing Address - Fax:
Practice Address - Street 1:10 S AUDLEN TER
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-2110
Practice Address - Country:US
Practice Address - Phone:908-400-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00118600171100000X
NY005691-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist