Provider Demographics
NPI:1902929011
Name:BONDAR, SARA
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:BONDAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2822
Mailing Address - Country:US
Mailing Address - Phone:516-641-4092
Mailing Address - Fax:516-938-2730
Practice Address - Street 1:61 BIRCH DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2822
Practice Address - Country:US
Practice Address - Phone:516-641-4092
Practice Address - Fax:516-938-2730
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5141214DUP1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical