Healthcare Provider Details

I. General information

NPI: 1831841170
Provider Name (Legal Business Name): SAYALI SUNIL SANE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 MAIN ST APT 150
WEST ORANGE NJ
07052-5623
US

IV. Provider business mailing address

5000 BRIANNA LN APT 15H
SECAUCUS NJ
07094-4524
US

V. Phone/Fax

Practice location:
  • Phone: 862-335-0200
  • Fax:
Mailing address:
  • Phone: 617-949-6352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02451000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number051441
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: