Provider Demographics
NPI:1972867323
Name:SEARFOSS, LINDA (NP)
Entity Type:Individual
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First Name:LINDA
Middle Name:
Last Name:SEARFOSS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:711 TROY SCHENECTADY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2442
Mailing Address - Country:US
Mailing Address - Phone:518-213-0478
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2125 RIVER RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1135
Practice Address - Country:US
Practice Address - Phone:518-381-9355
Practice Address - Fax:518-381-9216
Is Sole Proprietor?:No
Enumeration Date:2012-06-30
Last Update Date:2012-08-30
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Provider Licenses
StateLicense IDTaxonomies
NYF337296363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03465703Medicaid
NYJ400076657Medicare PIN