Doctor Name: | SARAH MONDELLO |
NPI Number: | 1013315654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F421185-1 |
Business Practice Address: | 27005 76th Ave New Hyde Park, NY - 110401402 |
Business Phone Number: | 7184707000 |
Business Fax Number: | |
Mailing Address: | 655 Middle Country Rd, Apt 8d1 CORAM |
State: | NY |
Postal Code: | 117273300 |
Phone Number: | 6317865954 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2014 |
NPI Last Update Date: | 12/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | F421185-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |