Provider Demographics
NPI:1942983309
Name:SANGI, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SANGI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 ROSS RULAND RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH CAIRO
Mailing Address - State:NY
Mailing Address - Zip Code:12482-1135
Mailing Address - Country:US
Mailing Address - Phone:845-532-1386
Mailing Address - Fax:
Practice Address - Street 1:30 HUNTER LN
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2400
Practice Address - Country:US
Practice Address - Phone:800-748-3243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY643569163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse