Provider Demographics
NPI:1467700856
Name:NITKA, SARAH ALEXANDRA (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ALEXANDRA
Last Name:NITKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ELIZABETH ST
Mailing Address - Street 2:APARTMENT 5T
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2804
Mailing Address - Country:US
Mailing Address - Phone:201-240-5952
Mailing Address - Fax:
Practice Address - Street 1:301 ELIZABETH ST
Practice Address - Street 2:APARTMENT 5T
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2804
Practice Address - Country:US
Practice Address - Phone:201-240-5952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266188208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics