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Ms. Sara Deborah Back, FNPMPH
Family Nurse Practitioner in Bronx, New York
NPI 1104811991

Sara Deborah Back is a Family Nurse Practitioner based in New York, NY and is specialized in Family. Sara Deborah Back practices in Bronx, NY and has the professional credentials of FNPMPH. The NPI Number for Sara Deborah Back is 1104811991 and holds a License No. F333271 (New York).

The current practice location address for Sara Deborah Back is 3424 Kossuth Ave, Bronx, NY and can be reached out via phone at 718-519-3631 and via fax at 718-519-2034.

Location: 3424 Kossuth Ave, Bronx, NY, 10027-4713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104811991
Provider Name
Sara Deborah Back
Credential
FNPMPH
Provider Entity Type
Individual
Gender
Female
Address
3424 Kossuth Ave, Bronx, NY, 10027-4713
Phone Number
718-519-3631
Fax Number
718-519-2034
Provider Enumeration Date
09/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02108950 05 NY
institution
Provider Business Practice Location Address Details
Address
3424 Kossuth Ave
City
Bronx
State
New York
Zip
10467-2410
Phone Number
718-519-3631
Fax Number
718-519-2034
person
Provider Business Mailing Address Details
Address
3424 Kossuth Ave
City
Bronx
State
New York
Zip
10467-2410
Phone Number
718-519-3631
Fax Number
718-519-2034
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F333271 (New York)
Definition
Definition to come...
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