Individual
SARAH HASENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
865 NORTHERN BLVD, GREAT NECK, NY 11021-5335
(516) 622-5155
Mailing address
44 CHURCH LN, WEST ISLIP, NY 11795-3822
(631) 786-5954
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
421185
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F421185-1
NY
Other
Enumeration date
12/14/2014
Last updated
03/17/2018
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