Provider Demographics
NPI:1508016486
Name:LAR, SARAH SANG (LAC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:SANG
Last Name:LAR
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 1:363 7TH AVENUE
Mailing Address - Street 2:SUITE #1501
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:212-239-8383
Mailing Address - Fax:212-239-8080
Practice Address - Street 1:363 7TH AVENUE
Practice Address - Street 2:SUITE #1501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-239-8383
Practice Address - Fax:212-239-8080
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003778171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist