Provider Demographics
NPI:1659624872
Name:HERRERA NICOL, SARAH E HERRERA (NP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E HERRERA
Last Name:HERRERA NICOL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:HERRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTICIONER
Mailing Address - Street 1:65 EAST 96TH STREET
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0776
Mailing Address - Country:US
Mailing Address - Phone:646-499-0488
Mailing Address - Fax:646-810-6486
Practice Address - Street 1:65 EAST 96TH STRET
Practice Address - Street 2:STE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0776
Practice Address - Country:US
Practice Address - Phone:646-499-0488
Practice Address - Fax:646-810-6486
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF430682363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care