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NPI Code Detail

MEDICARE: SARAH MAY BERUBE

MEDICARE:   SARAH MAY BERUBE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1659005916
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MAY BERUBE
Provider Business Mailing Address
First Line : 21 OVERBROOK DR
Second Line :
City : APALACHIN
State : NY
Zip : 13732-4233
Country : US
Telephone Number : 607-752-2138
Fax Number :
Provider Business Practice Location Address
First Line : 491 REYNOLDS RD
Second Line :
City : JOHNSON CITY
State : NY
Zip : 13790-1369
Country : US
Telephone Number : 607-306-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2022
Last Update Date : 07/13/2022

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Directions to “ SARAH MAY BERUBE ” Practice Location

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