Elmendorf, Sarah L
Elmendorf, Sarah L is an individual health care provider with primary practice located at Upstate Infectious Diseases Associates 404 New Scotland Ave, Albany NY 12208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Elmendorf, Sarah L can be contacted via phone (518) 435-0662.Contact Information
Primary practice address
Upstate Infectious Diseases Associates 404 New Scotland Ave
Albany NY 12208
Phone: (518) 435-0662
Fax: (518) 435-0664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 153286 | New York |
Profile Details
| NPI number | 1104919752 |
|---|---|
| LBN Legal business name | Elmendorf, Sarah L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 10th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104919752 | NPPES |
| New York | Other | 000402902001 | BLUE SHIELD |
| New York | Other | 925121 | BLUE SHIELD |
| New York | MEDICAID | 01051183 | BLUE SHIELD |
| New York | Other | 10028381 | BLUE SHIELD |
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