Individual
SARAH A BROUTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1302 POWERHOUSE RD, MEMPHIS, NY 13112-9795
(315) 777-2253
Mailing address
1302 POWERHOUSE RD, MEMPHIS, NY 13112-9795
(315) 777-2253
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
735578
NY
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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