Provider Demographics
NPI:1851890149
Name:DASARI, SAROJINI (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:SAROJINI
Middle Name:
Last Name:DASARI
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1976 LAFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-4708
Mailing Address - Country:US
Mailing Address - Phone:201-344-6571
Mailing Address - Fax:
Practice Address - Street 1:1976 LAFONTAINE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4708
Practice Address - Country:US
Practice Address - Phone:201-344-6571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY744211-1163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical