Healthcare Provider Details

I. General information

NPI: 1740068931
Provider Name (Legal Business Name): SARA ANN NORTON MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARA ANN VACLAVIK

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 NEW KARNER RD
ALBANY NY
12205-3852
US

IV. Provider business mailing address

427 NEW KARNER RD
ALBANY NY
12205-3852
US

V. Phone/Fax

Practice location:
  • Phone: 518-356-6201
  • Fax:
Mailing address:
  • Phone: 518-456-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP134136
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: