Healthcare Provider Details

I. General information

NPI: 1760313910
Provider Name (Legal Business Name): SACHA MARIE BURDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 MARGARET ST
PLATTSBURGH NY
12901-2968
US

IV. Provider business mailing address

133 MARGARET ST
PLATTSBURGH NY
12901-2968
US

V. Phone/Fax

Practice location:
  • Phone: 518-565-4446
  • Fax: 518-565-4509
Mailing address:
  • Phone: 518-565-4446
  • Fax: 518-565-4509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: