Provider Demographics
NPI:1447967047
Name:CONFEITEIRO, SARAH ISAAC (MHC-LP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ISAAC
Last Name:CONFEITEIRO
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ROSEDALE RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2527
Mailing Address - Country:US
Mailing Address - Phone:914-708-7638
Mailing Address - Fax:
Practice Address - Street 1:6301 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1046
Practice Address - Country:US
Practice Address - Phone:718-405-3474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118990-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health