Individual
SARAH BAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
259 ITHACA RD, SPENCER, NY 14883-9370
(607) 793-8465
Mailing address
259 ITHACA RD, SPENCER, NY 14883-9370
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
750389
NY
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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