Elmendorf, Sarah L

Elmendorf, Sarah L is an individual health care provider with primary practice located at Upstate Infectious Diseases Associates 404 New Scotland Ave, Albany NY 12208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Elmendorf, Sarah L can be contacted via phone (518) 435-0662.

Contact Information

Primary practice address
Upstate Infectious Diseases Associates 404 New Scotland Ave Albany NY 12208
Fax: (518) 435-0664
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 153286 New York

Profile Details

NPI number 1104919752
LBN Legal business name Elmendorf, Sarah L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 10th, 2012 - about 13 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 1104919752 NPPES
New York Other 000402902001 BLUE SHIELD
New York Other 925121 BLUE SHIELD
New York MEDICAID 01051183 BLUE SHIELD
New York Other 10028381 BLUE SHIELD

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