Provider Demographics
NPI:1629332838
Name:OMUSI, SARAH O (SP ED TEACHER)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:O
Last Name:OMUSI
Suffix:
Gender:F
Credentials:SP ED TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 KNOLL VW
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5944
Mailing Address - Country:US
Mailing Address - Phone:347-415-7681
Mailing Address - Fax:914-432-7319
Practice Address - Street 1:4 KNOLL VW
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-5944
Practice Address - Country:US
Practice Address - Phone:347-415-7681
Practice Address - Fax:914-432-7319
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY607727174400000X
NY1-20-40589103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist