Provider Demographics
NPI:1811141526
Name:GEORGE, SARITA ANN (NP)
Entity type:Individual
Prefix:MRS
First Name:SARITA
Middle Name:ANN
Last Name:GEORGE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:222 STATION PLZ N
Mailing Address - Street 2:SUITE 611
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3800
Mailing Address - Country:US
Mailing Address - Phone:516-663-2532
Mailing Address - Fax:516-663-2333
Practice Address - Street 1:101 MINEOLA BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4007
Practice Address - Country:US
Practice Address - Phone:516-663-3511
Practice Address - Fax:516-663-3070
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2021-02-24
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Provider Licenses
StateLicense IDTaxonomies
NYF381872363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics