Provider Demographics
NPI:1659853042
Name:KELLER, SARA PARATORE (RN, NP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:PARATORE
Last Name:KELLER
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:MARIE
Other - Last Name:PARATORE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, NP
Mailing Address - Street 1:PO BOX 29234
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-9234
Mailing Address - Country:US
Mailing Address - Phone:516-240-2700
Mailing Address - Fax:
Practice Address - Street 1:535 E 70TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4823
Practice Address - Country:US
Practice Address - Phone:212-606-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-31
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF382844363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics