Basic Information
| Provider Information | |||||||||
| NPI: | 1710034830 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOSAL | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | CATHERINE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 E 16TH ST | ||||||||
| Address2: | THE INSTITUTE FOR URBAN FAMILY HEALTH | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100033105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2126330800 | ||||||||
| FaxNumber: | 2126914610 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 E 168TH ST # 98 | ||||||||
| Address2: | URBAN HORIZONS FAMILY HEALTH CENTER | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104527929 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182933900 | ||||||||
| FaxNumber: | 7182933980 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2007 | ||||||||
| LastUpdateDate: | 09/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 242182 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.