Alicia J Sgarlata, LPN

Individual provider Active NPI Licensed Practical Nurse · Canastota, NY

NPI 1003005935 · NPPES record last updated Oct 16, 2007

Key facts

NPI
1003005935
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
287938-1 (NY)
Practice address
9125 Snell Rd
Canastota, NY 13032-4216
Phone
(315) 875-5076
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
287938-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 287938-1 NY Yes

Addresses

Primary practice location

9125 Snell Rd
Canastota, NY 13032-4216

Mailing address

9125 Snell Rd
Canastota, NY 13032-4216
Phone (315) 875-5076

Other providers in Canastota, NY

All providers in Canastota, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.