Provider Demographics
NPI:1780572149
Name:WATSON, SARAH LYNN (BD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:WATSON
Suffix:
Gender:F
Credentials:BD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:CESTERNINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BD
Mailing Address - Street 1:110 INDEPENDENCE LN
Mailing Address - Street 2:
Mailing Address - City:HANNACROIX
Mailing Address - State:NY
Mailing Address - Zip Code:12087-1817
Mailing Address - Country:US
Mailing Address - Phone:518-821-0593
Mailing Address - Fax:
Practice Address - Street 1:14379 ROUTE 9W
Practice Address - Street 2:
Practice Address - City:RAVENA
Practice Address - State:NY
Practice Address - Zip Code:12143
Practice Address - Country:US
Practice Address - Phone:518-756-3124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist