Provider Demographics
NPI:1790242410
Name:PRIOR, SARAH LYNNE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LYNNE
Last Name:PRIOR
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14890
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12212-4890
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2231 BURDETT AVE STE 160
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2453
Practice Address - Country:US
Practice Address - Phone:518-326-1620
Practice Address - Fax:518-326-1622
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001921176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife