Provider Demographics
NPI:1861522252
Name:SAPRA, ARUNA (DDS)
Entity type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:
Last Name:SAPRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:ARUNA
Other - Middle Name:MALMOTRA
Other - Last Name:SAPRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:51 NEW MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10927
Mailing Address - Country:US
Mailing Address - Phone:845-429-2461
Mailing Address - Fax:845-429-2612
Practice Address - Street 1:51 NEW MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927
Practice Address - Country:US
Practice Address - Phone:845-429-2461
Practice Address - Fax:845-429-2612
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039810122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01525415Medicaid