Healthcare Provider Details

I. General information

NPI: 1265996110
Provider Name (Legal Business Name): SARA ELAINE DARIAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 NEW HEMPSTEAD RD
NEW CITY NY
10956-3600
US

IV. Provider business mailing address

28 NEW HEMPSTEAD RD
NEW CITY NY
10956-3600
US

V. Phone/Fax

Practice location:
  • Phone: 845-288-3477
  • Fax:
Mailing address:
  • Phone: 845-288-3477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number022665
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number022665
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number022665
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: