Individual
SARA COLLESIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 LAFAYETTE AVE, COXSACKIE, NY 12051-1305
(518) 731-7777
Mailing address
589 COUNTY ROUTE 351, MEDUSA, NY 12120-1803
(518) 542-3216
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
350807
NY
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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