Provider Demographics
NPI:1235728098
Name:KARDONSKY, SARAH (BSN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KARDONSKY
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 GARDENIA LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-3343
Mailing Address - Country:US
Mailing Address - Phone:516-477-1301
Mailing Address - Fax:
Practice Address - Street 1:44 GARDENIA LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-3343
Practice Address - Country:US
Practice Address - Phone:516-477-1301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY78646301163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care