Provider Demographics
NPI:1700157971
Name:BHAGAT, SARLADEVI (RN)
Entity Type:Individual
Prefix:
First Name:SARLADEVI
Middle Name:
Last Name:BHAGAT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 HEYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2412
Mailing Address - Country:US
Mailing Address - Phone:516-877-1108
Mailing Address - Fax:
Practice Address - Street 1:44 HEYWOOD ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2412
Practice Address - Country:US
Practice Address - Phone:516-877-1108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY553477-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse