Healthcare Provider Details

I. General information

NPI: 1023358769
Provider Name (Legal Business Name): LAURA J SPRATT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2013
Last Update Date: 02/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 CARMAN RD STE 109
SCHENECTADY NY
12303-5348
US

IV. Provider business mailing address

3434 CARMAN RD STE 109
SCHENECTADY NY
12303-5348
US

V. Phone/Fax

Practice location:
  • Phone: 518-688-1490
  • Fax: 518-688-1490
Mailing address:
  • Phone: 518-688-1490
  • Fax: 518-688-1490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: