Provider Demographics
NPI:1043587637
Name:MADUREIRA, SARAH ANN (RN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:MADUREIRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:NY
Mailing Address - Zip Code:10511-1427
Mailing Address - Country:US
Mailing Address - Phone:914-552-8531
Mailing Address - Fax:
Practice Address - Street 1:233 HENRY ST
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:NY
Practice Address - Zip Code:10511-1427
Practice Address - Country:US
Practice Address - Phone:914-739-7262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-26
Last Update Date:2011-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY630508163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse