Provider Demographics
NPI:1295048049
Name:SENGUPTA, SAPNA SOIN (OTR)
Entity type:Individual
Prefix:MRS
First Name:SAPNA
Middle Name:SOIN
Last Name:SENGUPTA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:SAPNA
Other - Middle Name:
Other - Last Name:SOIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:255 WARREN ST
Mailing Address - Street 2:APT 503
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3722
Mailing Address - Country:US
Mailing Address - Phone:516-330-7920
Mailing Address - Fax:
Practice Address - Street 1:255 WARREN ST
Practice Address - Street 2:APT 503
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3722
Practice Address - Country:US
Practice Address - Phone:516-330-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0139381171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor