Provider Demographics
NPI:1730472077
Name:SWEET, SARAH LOUISE (MSED, CAS SPED)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:SWEET
Suffix:
Gender:F
Credentials:MSED, CAS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N BRANDYWINE AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-3515
Mailing Address - Country:US
Mailing Address - Phone:518-312-3407
Mailing Address - Fax:
Practice Address - Street 1:421 N BRANDYWINE AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3515
Practice Address - Country:US
Practice Address - Phone:518-312-3407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY362454091174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1744000000XMedicaid