Sarafina Brewer, COVT
Individual provider Active NPI Specialist · Deer Park, NY
NPI 1649656307 · NPPES record last updated Aug 5, 2015
Key facts
- NPI
- 1649656307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782 - Phone
- (516) 652-7918
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782
Mailing address
PO Box 23
Carle Place, NY 11514-0023
Phone (516) 652-7918
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2015. 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.