Provider Demographics
NPI:1700093952
Name:SAPODIN, AMY I (AUD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:I
Last Name:SAPODIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 WILLIS AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507
Mailing Address - Country:US
Mailing Address - Phone:516-484-0811
Mailing Address - Fax:718-514-7403
Practice Address - Street 1:1163 WILLIS AVENUE
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507
Practice Address - Country:US
Practice Address - Phone:516-484-0811
Practice Address - Fax:516-484-2205
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001235 1231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4901227OtherGHI NETWORK ACCESS MEDICA
010555483OtherMAGNAHEALTH HMO MAGNACARE
2222009OtherUNITED HEALTHCARE PPO SEL
010555483OtherMULTIPLAN INC PPO
010555483OtherCIGNA HEALTHCARE
204689POtherHIP
1024922OtherAETNA US HEALTHCARE HMO
136473OtherVYTRA HEALTH PLANS
5657619OtherAETNA US HEALTHCARE PPO P
M71511OtherEMPIRE BLUECROSS BLUESHIE
01055548301OtherLOCAL 1199
02162OtherHEARPO
P2578727OtherOXFORD HEALTH PLANS PPO
010555483OtherMULTIPLAN INC PPO
01055548301OtherLOCAL 1199