Healthcare Provider Details

I. General information

NPI: 1265356976
Provider Name (Legal Business Name): SARA PICCINELLI MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 E 74TH ST
NEW YORK NY
10021-3459
US

IV. Provider business mailing address

311 E 54TH ST APT 4G
NEW YORK NY
10022-5085
US

V. Phone/Fax

Practice location:
  • Phone: 212-639-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberP144955
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: