| Organization Name: | MARIE C SARDO |
| NPI Number: | 1043203979 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIE C SARDO (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 14 W Genesee St Baldwinsville |
| State: | NY US |
| Postal Code: | 130271105 |
| Phone Number: | 3154555101 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 469961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |