Individual
SARAH VARTABEDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 MEDICAL CENTER DR # 101D, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
Mailing address
4100 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
346303
NY
363LF0000X
Family Nurse Practitioner
346303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346303
FNP
NY
Enumeration date
01/14/2021
Last updated
05/20/2021
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