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Organization
SANDRA BOEBEL, PSYCHIATRIC NP, PLLC
Active
Organization
SANDRA BOEBEL, PSYCHIATRIC NP, PLLC
Active
Parent organization
SANDRA BOEBEL, PSYCHIATRIC NP, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANDRA BOEBEL, PSYCHIATRIC NP, PLLC
Authorized official
SANDRA BOEBEL PMHNP-BC (NP)
(585) 337-0817
Entity
Organization
Contact information
Practice address
7353 NY ROUTE 96, VICTOR, NY 14564-1456
(585) 337-0817
Mailing address
150 ADELAIDE AVE, CANANDAIGUA, NY 14424-1502
(585) 329-3179
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
12/30/2019
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