Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 272132 | NY |
NPI | 1043585276 |
---|---|
Provider Name | Sara Ann Cerrone |
First Address | Manhasset, NY 11030-3816 |
Second Address | Riverhead, NY 11901-1953 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2012 |
Last Update Date | 26/06/2019 |