Provider Demographics
NPI:1295187433
Name:COVERT, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:COVERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 NEW KARNER RD # 14
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-4627
Mailing Address - Country:US
Mailing Address - Phone:518-603-0076
Mailing Address - Fax:906-629-6233
Practice Address - Street 1:251 NEW KARNER RD # 14
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-4627
Practice Address - Country:US
Practice Address - Phone:518-603-0076
Practice Address - Fax:906-629-6233
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402009363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health