Provider Demographics
NPI:1912412602
Name:VESSIO, SARA CATHERINE
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:CATHERINE
Last Name:VESSIO
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 1:130 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:VALATIE
Mailing Address - State:NY
Mailing Address - Zip Code:12184-4817
Mailing Address - Country:US
Mailing Address - Phone:518-929-2072
Mailing Address - Fax:
Practice Address - Street 1:130 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:VALATIE
Practice Address - State:NY
Practice Address - Zip Code:12184-4817
Practice Address - Country:US
Practice Address - Phone:518-929-2072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)