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General NPI Number Information
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NPI Number | 1750542783
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Entity Type | Individual
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Provider Name | SARAH MASOODSINAKI MD PLLC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 2585 BROADWAY #254
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City | NEW YORK
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State | NY
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Zip | 10025-5001
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Country | US
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Telephone | 917-833-9083
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Fax |
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Provider Business Mailing Address
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Address Line | 163 AMSTERDAM AVE # 1415
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City | NEW YORK
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State | NY
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Zip | 10023-5001
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Country | US
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Telephone | 917-833-9083
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 281269
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License Number State | NY
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