Provider Demographics
NPI:1396356317
Name:RINDFLEISCH, SARAH-ANNE MONIQUE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH-ANNE
Middle Name:MONIQUE
Last Name:RINDFLEISCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 STATE ROUTE 90
Mailing Address - Street 2:
Mailing Address - City:UNION SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:13160-3177
Mailing Address - Country:US
Mailing Address - Phone:315-283-4802
Mailing Address - Fax:
Practice Address - Street 1:60 MAIN ST
Practice Address - Street 2:
Practice Address - City:PORT BYRON
Practice Address - State:NY
Practice Address - Zip Code:13140
Practice Address - Country:US
Practice Address - Phone:315-776-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY738475163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse