Healthcare Provider Details

I. General information

NPI: 1043175342
Provider Name (Legal Business Name): SARAH ANN OSHEA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CRANBROOK DR
CENTERPORT NY
11721-1743
US

IV. Provider business mailing address

5 CRANBROOK DR
CENTERPORT NY
11721-1743
US

V. Phone/Fax

Practice location:
  • Phone: 631-459-0288
  • Fax:
Mailing address:
  • Phone: 631-459-0288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number4474113
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: