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General NPI Number Information
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NPI Number | 1912795360
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Entity Type | Individual
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Provider Name | SARA ANNE GOLDFARB
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Gender | Female
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 224 WALL ST STE 302
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City | HUNTINGTON
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State | NY
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Zip | 11743-2186
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Country | US
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Telephone | 631-223-7739
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Fax | 855-225-9703
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Provider Business Mailing Address
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Address Line | 224 WALL ST STE 302
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City | HUNTINGTON
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State | NY
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Zip | 11743-2186
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Country | US
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Telephone | 631-223-7739
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Fax | 855-225-9703
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F407007-01
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License Number State | NY
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