Provider Demographics
NPI:1073512935
Name:TARPEY, SANDRA MARIE (NP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MARIE
Last Name:TARPEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BRADHURST AVE STE 3750
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2132
Mailing Address - Country:US
Mailing Address - Phone:914-493-7700
Mailing Address - Fax:914-493-1806
Practice Address - Street 1:19 BRADHURST AVE STE 3750
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2132
Practice Address - Country:US
Practice Address - Phone:914-493-7700
Practice Address - Fax:914-493-1806
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303407363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02636217Medicaid
NYQ31922Medicare UPIN
NY0866GES611Medicare PIN