Individual
MS. SANDRA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 342-3166
(315) 343-6531
Mailing address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 342-3166
(315) 343-6531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0330F330672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330F330672
NYS LICENSE NUMBER
NY
Enumeration date
10/06/2006
Last updated
07/08/2007
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