Individual
CAITLIN SONAGERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 NOTT ST STE 102, SCHENECTADY, NY 12308-2589
(518) 382-7500
(518) 382-7572
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
286925
NY
207R00000X
Internal Medicine Physician
OT016017
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04871523
—
NY
01
—
458TY1
EMPIRE BLUECROSS BULESHIELD
—
01
—
4969206
AETNA
—
Enumeration date
04/14/2014
Last updated
03/17/2018
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