Provider Information for 1528675576
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. REBECCA SANDERS
Sex: Female
NPI: 1528675576
Last Updated: 2020-09-24
Certification Date: 2020-08-07
Certification Date: 2020-08-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528675576 | ||||||||
| Enumeration Date | 2020-09-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 28 ZIEMKE FARM LN COHOES, NY 12047-2108 United States Phone: 518-522-0524 | Fax: | ||||||||
| Primary Practice Address | 315 S MANNING BLVD ALBANY, NY 12208-1707 United States Phone: 518-603-5207 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|