Healthcare Provider Details

I. General information

NPI: 1366327868
Provider Name (Legal Business Name): LAURA DAVISON STRODE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 N BROADWAY STE 430
SLEEPY HOLLOW NY
10591-1077
US

IV. Provider business mailing address

480 BEDFORD RD
CHAPPAQUA NY
10514-1715
US

V. Phone/Fax

Practice location:
  • Phone: 212-633-0800
  • Fax:
Mailing address:
  • Phone: 914-366-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number356956
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: