Provider Demographics
NPI:1750542783
Name:MASOODSINAKI, SARAH (MD PLLC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MASOODSINAKI
Suffix:
Gender:F
Credentials:MD PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 AMSTERDAM AVE # 1415
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5001
Mailing Address - Country:US
Mailing Address - Phone:917-833-9083
Mailing Address - Fax:
Practice Address - Street 1:2585 BROADWAY #254
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5001
Practice Address - Country:US
Practice Address - Phone:917-833-9083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2812692084P0800X
CT0505032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry