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NPI Code Detail

MEDICARE: SABA ASHCRAFT

MEDICARE: SABA ASHCRAFT
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner405962NY

General Provider Information

NPI Number : 1700023496
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABA ASHCRAFT
Provider Business Mailing Address
First Line : 3036 WALPOLE LN
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-1635
Country : US
Telephone Number : 315-657-8391
Fax Number :
Provider Business Practice Location Address
First Line : 110 E 60TH ST RM 704
Second Line :
City : NEW YORK
State : NY
Zip : 10022-1799
Country : US
Telephone Number : 631-323-6546
Fax Number : 631-850-6266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2009
Last Update Date : 06/03/2026

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Directions to “ SABA ASHCRAFT ” Practice Location

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