Individual
SANDRA STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
513 W UNION ST, NEWARK, NY 14513-1365
(315) 568-1566
Mailing address
513 W UNION ST, NEWARK, NY 14513-1365
(315) 568-1566
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
496731-1
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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