Provider Demographics
NPI:1508140575
Name:OORIEL, SANAZ (OD)
Entity Type:Individual
Prefix:DR
First Name:SANAZ
Middle Name:
Last Name:OORIEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 DEVON RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-2043
Mailing Address - Country:US
Mailing Address - Phone:516-343-4003
Mailing Address - Fax:
Practice Address - Street 1:87 DEVON RD
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-2043
Practice Address - Country:US
Practice Address - Phone:516-343-4003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007796-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist