Provider Demographics
NPI:1881217644
Name:MOSTELLER, SARAH WOFFORD (LCAT-LP, ATR-P)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:WOFFORD
Last Name:MOSTELLER
Suffix:
Gender:F
Credentials:LCAT-LP, ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 W 65TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6610
Mailing Address - Country:US
Mailing Address - Phone:212-580-0080
Mailing Address - Fax:
Practice Address - Street 1:37 W 65TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6610
Practice Address - Country:US
Practice Address - Phone:212-580-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP15051221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist