Organization · Type 2 NPI

The On Call Family Health Nurse Practitioner

Family Nurse Practitioner · West Sand Lake, NY

NPI number 1053182139 Active

Practice location

221 Springer Rd
West Sand Lake, NY 12196-2035

Call (518) 738-7384 Map

Mailing address

PO Box 183
West Sand Lake, NY 12196-0183

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

About NPI 1053182139

The On Call Family Health Nurse Practitioner's National Provider Identifier is 1053182139, issued on Jan 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Sand Lake, NY. The record was last updated on Sep 15, 2026.