Provider Demographics
NPI:1023419595
Name:OHANA, SARA S (MSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:S
Last Name:OHANA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:SARIT
Other - Middle Name:S
Other - Last Name:OHANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2391 MOTT AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-1748
Mailing Address - Country:US
Mailing Address - Phone:718-337-0724
Mailing Address - Fax:718-337-0724
Practice Address - Street 1:2391 MOTT AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-1748
Practice Address - Country:US
Practice Address - Phone:718-337-0724
Practice Address - Fax:718-337-0724
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY741991015-00Medicaid