Provider Demographics
NPI:1558503474
Name:SAPEN, DANIEL J (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:SAPEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-3151
Mailing Address - Country:US
Mailing Address - Phone:631-470-0749
Mailing Address - Fax:
Practice Address - Street 1:35 7TH AVE S
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3151
Practice Address - Country:US
Practice Address - Phone:631-470-0749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018623103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist