Provider Demographics
NPI:1659632669
Name:TURNER, SARA (MS SP ED)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 OLD POMONA RD
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2006
Mailing Address - Country:US
Mailing Address - Phone:845-362-6107
Mailing Address - Fax:
Practice Address - Street 1:22 OLD POMONA RD
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-2006
Practice Address - Country:US
Practice Address - Phone:845-362-6107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288246174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist