Healthcare Provider Details

I. General information

NPI: 1487419230
Provider Name (Legal Business Name): SARAH HENDRYK FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 NY-312
BREWSTER NY
10509
US

IV. Provider business mailing address

931 NOXON RD
WAPPINGERS FALLS NY
12590-6486
US

V. Phone/Fax

Practice location:
  • Phone: 845-278-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number354015
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number354015
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number696656
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: