Provider Demographics
NPI:1255133948
Name:HEMMATI, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:HEMMATI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 E 97TH ST APT 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7076
Mailing Address - Country:US
Mailing Address - Phone:332-733-9663
Mailing Address - Fax:
Practice Address - Street 1:68 E 97TH ST APT 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7076
Practice Address - Country:US
Practice Address - Phone:332-733-9663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program