Healthcare Provider Details

I. General information

NPI: 1154526929
Provider Name (Legal Business Name): ELIZABETH G SARNOSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 14010
FPO AP
96543-4010
US

IV. Provider business mailing address

UNIT 14010
FPO AP
96543-4010
US

V. Phone/Fax

Practice location:
  • Phone: 671-687-8570
  • Fax:
Mailing address:
  • Phone: 671-687-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101244128
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number0101244128
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: