Provider Demographics
NPI:1780600643
Name:SBARRA, BERNADETTE
Entity type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:
Last Name:SBARRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 THORNWOOD COURT
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6809
Mailing Address - Country:US
Mailing Address - Phone:845-838-0841
Mailing Address - Fax:
Practice Address - Street 1:VA HUDSON VALLEY HEALTH CARE SYSTEM
Practice Address - Street 2:CASTLE POINT CAMPUS
Practice Address - City:CATLE POINT
Practice Address - State:NY
Practice Address - Zip Code:12511-9998
Practice Address - Country:US
Practice Address - Phone:845-831-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0067551235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist