Sara Wick
Physician Assistant in Lyons, NY. Individual provider (NPI-1).
NPI number1942017397
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1942017397
- Entity type
- Individual (NPI-1)
- Name
- Sara Wick
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 033105 | NY | Yes |
| 363AM0700X | Physician Assistant, Medical | 033105 | NY |
Practice location
12 Leach RdLyons, NY 14489-9732
Phone 315-946-6075
Mailing address
100 Kings Hwy SRochester, NY 14617-5504
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