Healthcare Provider Details

I. General information

NPI: 1730786427
Provider Name (Legal Business Name): SARAH EMILY SAYRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 NEWELL ST
BROOKLYN NY
11222-3321
US

IV. Provider business mailing address

96 NEWELL ST
BROOKLYN NY
11222-3321
US

V. Phone/Fax

Practice location:
  • Phone: 650-766-6784
  • Fax:
Mailing address:
  • Phone: 650-766-6784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number109569-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number096401
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: