Kennedy-Etheridge, Sarah Desiree
Kennedy-Etheridge, Sarah Desiree is an sole proprietor health care provider with primary practice located at 125 Mineola Ave Ste 200 , Roslyn Heights NY 11577-2042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kennedy-Etheridge, Sarah Desiree can be contacted via phone (516) 616-5500.Contact Information
Primary practice address
125 Mineola Ave Ste 200
Roslyn Heights NY 11577-2042
Phone: (516) 616-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 024094 | New York |
Profile Details
| NPI number | 1174165484 |
|---|---|
| LBN Legal business name | Kennedy-Etheridge, Sarah Desiree |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2019 |
| Last updated | Oct 9th, 2019 - about 5 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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