Provider Demographics
NPI:1659772796
Name:SARNA, PRIYASHA UPPAL
Entity Type:Individual
Prefix:
First Name:PRIYASHA
Middle Name:UPPAL
Last Name:SARNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 W 20TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3702
Mailing Address - Country:US
Mailing Address - Phone:888-835-5015
Mailing Address - Fax:
Practice Address - Street 1:17 W 20TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3702
Practice Address - Country:US
Practice Address - Phone:888-835-5015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235222183500000X
NY061830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist