Healthcare Provider Details

I. General information

NPI: 1942145651
Provider Name (Legal Business Name): SARAH ROSE STRATMANN RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 OLD HARBOR DR
HALFMOON NY
12065-4391
US

IV. Provider business mailing address

509 OLD HARBOR DR
HALFMOON NY
12065-4391
US

V. Phone/Fax

Practice location:
  • Phone: 631-626-5542
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number728364
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: