Individual
DR. SARAH L ELMENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UPSTATE INFECTIOUS DISEASES ASSOCIATES, 404 NEW SCOTLAND AVE, ALBANY, NY 12208
(518) 435-0662
(518) 435-0664
Mailing address
UPSTATE INFECTIOUS DISEASES ASSOCIATES, 404 NEW SCOTLAND AVE, ALBANY, NY 12208
(518) 435-0662
(518) 435-0664
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
153286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000402902001
BLUE SHIELD
NY
05
—
01051183
—
NY
01
—
10028381
CDPHP
NY
01
—
925121
BLUE CROSS
NY
Enumeration date
10/02/2006
Last updated
10/10/2012
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