Doctor Name: | SARI PRIESAND |
NPI Number: | 1003164062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | FM104103378D |
Business Practice Address: | 600 E 233rd St Bronx, NY - 104662604 |
Business Phone Number: | 3475774410 |
Business Fax Number: | |
Mailing Address: | 3050 Corlear Ave, Apt 409 BRONX |
State: | NY |
Postal Code: | 104635180 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/23/2012 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | FM104103378D |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |