Healthcare Provider Details

I. General information

NPI: 1649174426
Provider Name (Legal Business Name): SARAH KAY KROMREY RDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SAXTON RD
LATHAM NY
12110-4243
US

IV. Provider business mailing address

1 SAXTON RD
LATHAM NY
12110-4243
US

V. Phone/Fax

Practice location:
  • Phone: 518-764-3565
  • Fax:
Mailing address:
  • Phone: 518-764-3565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number001018
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: