Healthcare Provider Details

I. General information

NPI: 1194268284
Provider Name (Legal Business Name): CATHERINE AGYEKUM SAWYER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2016
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 MIDDLE COUNTRY RD
CORAM NY
11727-4460
US

IV. Provider business mailing address

PO BOX 5036
WHITE PLAINS NY
10602-5036
US

V. Phone/Fax

Practice location:
  • Phone: 631-320-2220
  • Fax: 631-320-2236
Mailing address:
  • Phone: 914-898-9421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF340721
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF408333
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: