Provider Demographics
NPI:1336101021
Name:COLLINS, SARAH MOREY (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MOREY
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 615
Mailing Address - Street 2:
Mailing Address - City:SCHOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:12157-0615
Mailing Address - Country:US
Mailing Address - Phone:518-295-7001
Mailing Address - Fax:
Practice Address - Street 1:434 MAIN ST. SUITE 2
Practice Address - Street 2:
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157-0615
Practice Address - Country:US
Practice Address - Phone:518-295-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008123-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56065BMedicare ID - Type Unspecified
NYU61303Medicare UPIN