Provider Demographics
NPI:1902279185
Name:CELESTIN, SARAH Y (LPN)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:Y
Last Name:CELESTIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2624
Mailing Address - Country:US
Mailing Address - Phone:516-444-0276
Mailing Address - Fax:
Practice Address - Street 1:74 4TH AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2624
Practice Address - Country:US
Practice Address - Phone:516-444-0276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3237021251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care