Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 175176 | NY |
Y | 213ES0000X | Sports Medicine | 175176 | NY |
NPI | 1366579211 |
---|---|
Provider Name | Dr. Christine Sapka |
First Address | Mount Vernon, NY 10550-3000 |
Second Address | Mount Vernon, NY 10550-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 31/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F41607 | (02) | NY |