# VIDA SARKODIE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407452006
- **Authorized official:** VIDA SARKODIE APN (NURSE PRACTITIONER)
- **Authorized official phone:** (862) 596-0705

## Contact information

- **Practice address:** 230 ROUTE 206 STE 3, FLANDERS, NJ 07836-9189
- **Practice address phone:** (973) 298-0812
- **Mailing address:** 24 KENNEDY DR, FLANDERS, NJ 07836-9229
- **Mailing address phone:** (862) 596-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | NULL | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 12/08/2020