Sara Dragula
Individual provider Active NPI Licensed Practical Nurse · Tivoli, NY
NPI 1609499565 · NPPES record last updated May 26, 2020
Key facts
- NPI
- 1609499565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 328094 (NY)
- Practice address
- 1424 Route 9
Tivoli, NY 12583-5114 - Phone
- (844) 828-2666
- NPI assigned
- May 26, 2020
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 328094 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 328094 | NY | Yes |
Addresses
Primary practice location
1424 Route 9
Tivoli, NY 12583-5114
Mailing address
1424 Route 9
Tivoli, NY 12583-5114
Other providers in Tivoli, NY
- Melissa Bell-Dentico
- Robin Marie Boice
- Katherine Anne Collins
- Patrick James Dentico
- Nicole Fallon
- Meredith Claire Goff
- Roberta Lynn Hayes
- Christopher J Karpinski
- Heidi A Kronenberg
All providers in Tivoli, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.