Perdek, Sandra Mackinnon

Perdek, Sandra Mackinnon is an individual health care provider with primary practice located at 1101 Nott St , Schenectady NY 12308-2425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Perdek, Sandra Mackinnon can be contacted via phone (518) 243-4000.

Contact Information

Primary practice address
1101 Nott St Schenectady NY 12308-2425
Phone: (518) 243-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 302354 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 333880 New York

Profile Details

NPI number 1083648315
LBN Legal business name Perdek, Sandra Mackinnon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 5th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083648315 NPPES
New York Other 000000092603 GHI-HMO
New York Other 050806000037 GHI-HMO
New York Other 788114 GHI-HMO
New York Other 000490314003 GHI-HMO
New York Other 7599225 GHI-HMO

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