Provider Demographics
NPI:1558466821
Name:SIGLI, SARA SMADAR (DDS PC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:SMADAR
Last Name:SIGLI
Suffix:
Gender:F
Credentials:DDS PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 RIVERDALE AVE.
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10463
Mailing Address - Country:US
Mailing Address - Phone:718-548-0500
Mailing Address - Fax:718-548-7213
Practice Address - Street 1:3525 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:NY
Practice Address - Zip Code:10463
Practice Address - Country:US
Practice Address - Phone:718-548-0500
Practice Address - Fax:718-548-7213
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0419961223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health