Provider Demographics
NPI:1740951821
Name:BROSCH, SARAH (FNP-BD)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:BROSCH
Suffix:
Gender:F
Credentials:FNP-BD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 N FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1908
Mailing Address - Country:US
Mailing Address - Phone:917-923-7357
Mailing Address - Fax:
Practice Address - Street 1:460 N FULTON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-1908
Practice Address - Country:US
Practice Address - Phone:917-923-7357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348482363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily