Provider Demographics
NPI:1871802215
Name:SCHWEITZER, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 EAST 32ND STREET
Mailing Address - Street 2:18B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:165 E 32ND ST
Practice Address - Street 2:18B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6054
Practice Address - Country:US
Practice Address - Phone:732-754-2646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019814-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist