Provider Demographics
NPI:1356690051
Name:GOMEZ, SARAH Y (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:Y
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:Y
Other - Last Name:AWAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:228 ROUTE 32
Mailing Address - Street 2:
Mailing Address - City:CENTRAL VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10917-3662
Mailing Address - Country:US
Mailing Address - Phone:845-928-1117
Mailing Address - Fax:
Practice Address - Street 1:228 ROUTE 32
Practice Address - Street 2:
Practice Address - City:CENTRAL VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10917-3662
Practice Address - Country:US
Practice Address - Phone:845-928-1117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057136-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist