Healthcare Provider Details

I. General information

NPI: 1730719360
Provider Name (Legal Business Name): SARAH ABDOU DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 BOSTON POST RD
LARCHMONT NY
10538-3500
US

IV. Provider business mailing address

2365 BOSTON POST RD STE 200
LARCHMONT NY
10538-3559
US

V. Phone/Fax

Practice location:
  • Phone: 197-387-7500
  • Fax:
Mailing address:
  • Phone: 914-834-0111
  • Fax: 914-834-0259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN007269-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: