Gorham, Sara

Gorham, Sara is an individual health care provider with primary practice located at 665 Saratoga Rd Suite 100, Gansevoort NY 12831-1599. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gorham, Sara can be contacted via phone (518) 363-8815.

Contact Information

Primary practice address
665 Saratoga Rd Suite 100 Gansevoort NY 12831-1599
Phone: (518) 363-8815
Fax: (518) 363-8831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 421238 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001706 New York

Profile Details

NPI number 1932177631
LBN Legal business name Gorham, Sara
Credentials CNM,CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 28th, 2024 - about last year

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 1932177631 NPPES
Other 581397572 TAX ID #
MEDICAID 417108236A TAX ID #

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