Doctor Name: | SARA HEIMROTH |
NPI Number: | 1528028438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NPP |
License Number: | F400651 |
Business Practice Address: | 2880 Rt 9 Valatie, NY - 12184 |
Business Phone Number: | 5187586922 |
Business Fax Number: | |
Mailing Address: | 20 Lewis Ave, GT BARRINGTON |
State: | MA |
Postal Code: | 01230 |
Phone Number: | 4135281845 |
Fax Number: | 4135283667 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | F400651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |