| Doctor Name: | AUDREY CECILE SANGSTER SADAPHAL |
| NPI Number: | 1215237581 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 166066 |
| Business Practice Address: | 44 Georgia Street, Valley Stream, NY - 11580 |
| Business Phone Number: | 5162854384 |
| Business Fax Number: | 5162851909 |
| Mailing Address: | 44 Georgia Street,, VALLEY STREAM |
| State: | NY |
| Postal Code: | 11580 |
| Phone Number: | 5162854384 |
| Fax Number: | 5162851909 |
| NPI Enumeration Date: | 11/02/2010 |
| NPI Last Update Date: | 05/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 166066 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |