Conklin, Sandra Lee

Conklin, Sandra Lee is an individual health care provider with primary practice located at 138 North Court Street, Veterans Memorial Building, Wampsville NY 13163-0608. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Conklin, Sandra Lee can be contacted via phone (315) 366-2327.

Contact Information

Primary practice address
138 North Court Street, Veterans Memorial Building Wampsville NY 13163-0608
Phone: (315) 366-2327
Fax: (315) 366-2599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 344529-1 New York

Profile Details

NPI number 1457637720
LBN Legal business name Conklin, Sandra Lee
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2011
Last updated Oct 31st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457637720 NPPES
New York MEDICAID 1685780546

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