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Individual

NENITA C SADORRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
BOX 158 ROUTE 17-M, NEW HAMPTON, NY 10958
(845) 374-3171
Mailing address
233 GENUNG STREEET, MIDDLETOWN, NY 10940

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
191099
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191099
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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