Healthcare Provider Details

I. General information

NPI: 1598388548
Provider Name (Legal Business Name): SARA ZAPPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 08/05/2022
Certification Date: 08/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 E 94TH ST APT 1
NEW YORK NY
10128-2905
US

IV. Provider business mailing address

65 2ND AVE
MASSAPEQUA PARK NY
11762-2818
US

V. Phone/Fax

Practice location:
  • Phone: 917-674-3421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: