Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Sara Deborah Back, FNPMPH

Individual provider Family Nurse Practitioner · NPI 1104811991

MS. Sara Deborah Back, FNPMPH is a Family Nurse Practitioner in Bronx, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

3424 Kossuth Ave Rm #3H17
Bronx, NY 10467-2410
Phone: (718) 519-3631
Fax: (718) 519-2034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F333271 (NY)

Record details

NPI number1104811991
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNPMPH
Sole proprietorNo
NPI enumeratedSeptember 17, 2005
Last updated in NPPESJuly 9, 2008
Mailing address80 Lasalle St, 9c, New York, NY 10027-4713

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