Provider Demographics
NPI:1093835407
Name:PIGOTT, SANDRA (CPNP)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:PIGOTT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:FABRICATORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:19 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-6235
Mailing Address - Country:US
Mailing Address - Phone:914-588-8894
Mailing Address - Fax:
Practice Address - Street 1:19 SKYLINE DR # 1N-H14
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2134
Practice Address - Country:US
Practice Address - Phone:914-594-2152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381675-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics