# SANDRA BOEBEL, PSYCHIATRIC NP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SANDRA BOEBEL, PSYCHIATRIC NP, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184279838
- **Legal business name:** SANDRA BOEBEL, PSYCHIATRIC NP, PLLC
- **Authorized official:** SANDRA BOEBEL PMHNP-BC (NP)
- **Authorized official phone:** (585) 337-0817

## Contact information

- **Practice address:** 7353 NY ROUTE 96, VICTOR, NY 14564-1456
- **Practice address phone:** (585) 337-0817
- **Mailing address:** 150 ADELAIDE AVE, CANANDAIGUA, NY 14424-1502
- **Mailing address phone:** (585) 329-3179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 12/30/2019