Provider Demographics
NPI:1710909551
Name:HERMANS, SANDRA M (NP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:M
Last Name:HERMANS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:19 WEST AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6049
Mailing Address - Country:US
Mailing Address - Phone:518-583-0111
Mailing Address - Fax:518-583-2426
Practice Address - Street 1:855 ROUTE 146
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065
Practice Address - Country:US
Practice Address - Phone:518-489-7494
Practice Address - Fax:518-489-7641
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2018-07-10
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Provider Licenses
StateLicense IDTaxonomies
NYF334664-1208800000X
NY334664363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208800000XAllopathic & Osteopathic PhysiciansUrology