Individual
MRS. SANDRA LOUISE HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
711 RAILROAD ST, DE RUYTER, NY 13052-9700
(315) 852-3400
(315) 852-9600
Mailing address
711 RAILROAD ST, DE RUYTER, NY 13052-9700
(315) 852-3400
(315) 852-9600
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
512628
NY
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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