MEDICARE: AMY MARIE SADOWSKI FAMILY NURSE PRACTIT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F334393	NY

General Provider Information

NPI Number	:	1215027610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MARIE SADOWSKI FAMILY NURSE PRACTIT

Provider Business Mailing Address
First Line	:	8 THAYER RD
Second Line	:
City	:	WEST POINT
State	:	NY
Zip	:	10996-1701
Country	:	US
Telephone Number	:	845-446-1416
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5602
Country	:	US
Telephone Number	:	718-665-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2006
Last Update Date	:	07/08/2007

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