Provider Demographics
NPI:1508684747
Name:HOPKINS, SARAH CAMILLE (MS, LCGC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:CAMILLE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-2948
Mailing Address - Country:US
Mailing Address - Phone:914-620-0511
Mailing Address - Fax:
Practice Address - Street 1:GREENWICH HOSPITAL, MATERNAL FETAL MEDICINE
Practice Address - Street 2:5 PERRYRIDGE ROAD
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830
Practice Address - Country:US
Practice Address - Phone:203-863-3674
Practice Address - Fax:203-863-3467
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT21979585170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS