Provider Demographics
NPI:1336914167
Name:LINARES, SAPHIRA SAUDITH (FNP)
Entity Type:Individual
Prefix:
First Name:SAPHIRA
Middle Name:SAUDITH
Last Name:LINARES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SAPHIRA
Other - Middle Name:SAUDITH
Other - Last Name:JEAN BAPTISTE JEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29 FOREST DR APT F
Mailing Address - Street 2:
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-2152
Mailing Address - Country:US
Mailing Address - Phone:845-659-7569
Mailing Address - Fax:
Practice Address - Street 1:89 S ROUTE 9W
Practice Address - Street 2:
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1047
Practice Address - Country:US
Practice Address - Phone:845-429-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF352689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily