Individual
SARAH C. DEVENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
475 IRVING AVE, STE. 300, SYRACUSE, NY 13210-1756
(315) 464-7010
Mailing address
475 IRVING AVE, STE 300, SYRACUSE, NY 13210-1756
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
336375
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03253216
—
NY
Enumeration date
07/18/2010
Last updated
04/19/2011
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