Doctor Name: | MRS. JACQUELYN ANN SARDINA |
NPI Number: | 1033487590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 22486892 |
Business Practice Address: | 4150 Maple Rd Amherst, NY - 142261042 |
Business Phone Number: | 7162501460 |
Business Fax Number: | 7162501475 |
Mailing Address: | 4150 Maple Rd, AMHERST |
State: | NY |
Postal Code: | 142261042 |
Phone Number: | 7162501460 |
Fax Number: | 7162501475 |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 22486892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |