Provider Demographics
NPI:1245929280
Name:SCHRAETER-MOWERS, SARA C (MSED)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:C
Last Name:SCHRAETER-MOWERS
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6702 64TH PL
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-4634
Mailing Address - Country:US
Mailing Address - Phone:917-676-0405
Mailing Address - Fax:
Practice Address - Street 1:6702 64TH PL
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-4634
Practice Address - Country:US
Practice Address - Phone:917-676-0405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist