Provider Demographics
NPI:1881829182
Name:TINKELMAN, SARA TEETER (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:TEETER
Last Name:TINKELMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 FERNBORO RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1713
Mailing Address - Country:US
Mailing Address - Phone:585-473-0395
Mailing Address - Fax:
Practice Address - Street 1:33 FERNBORO RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-1713
Practice Address - Country:US
Practice Address - Phone:585-473-0395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-16
Last Update Date:2009-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267476163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse