Individual
SARA LEAH TARSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4514 16TH AVE FL 4THE, BROOKLYN, NY 11204-1101
(718) 407-7300
(718) 400-9012
Mailing address
4514 16TH AVE FL 4THE, BROOKLYN, NY 11204-1101
(718) 407-7300
(718) 400-9012
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
209269
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02090288
—
NY
01
—
185405
ONE HEALTH PLAN (PPO)
NY
01
—
209269-N03
HIP
NY
01
—
2299532
GHI
NY
01
—
2K9871
B/C &B/S HMO'S
NY
01
—
3163532
AETNA/USHEALTHCARE(HMO)
NY
01
—
5C4849
HEALTHNET-PAR
NY
01
—
753074313
BEECH STREET
NY
01
—
7664244
AETNA/USHEALTHCARE (PPO)
NY
01
—
N82479
HEALTHNET-NON PAR
NY
01
—
P2807514
OXFORD
NY
Enumeration date
05/19/2006
Last updated
06/28/2023
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