Healthcare Provider Details

I. General information

NPI: 1053878959
Provider Name (Legal Business Name): JANAE SAPP HEALTH CARE ADVOCATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

871 BROOK AVE APT 4B
BRONX NY
10451-4647
US

IV. Provider business mailing address

871 BROOK AVE APT 4B
BRONX NY
10451-4647
US

V. Phone/Fax

Practice location:
  • Phone: 929-990-1844
  • Fax: 917-471-8754
Mailing address:
  • Phone: 929-990-1844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: