Healthcare Provider Details

I. General information

NPI: 1447172093
Provider Name (Legal Business Name): SADENA AHMAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 DEVOE DR
HALFMOON NY
12065-8638
US

IV. Provider business mailing address

8 DEVOE DR
HALFMOON NY
12065-8638
US

V. Phone/Fax

Practice location:
  • Phone: 518-982-7866
  • Fax:
Mailing address:
  • Phone: 518-982-7866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberN12631-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: