National Provider Identifier
Sydney Lorraine Peacock, PA-C
Sydney Lorraine Peacock, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Henrietta, NY and a listed phone number of (585) 444-0058.
Profile Overview
- NPI
- 1184389975
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 05, 2021
- Last Updated
- December 12, 2025
Practice Location
- 2685 E Henrietta RD
- Henrietta, NY 14467-9370
Phone: (585) 444-0058
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
Endpoints
- skraeger355321@direct.rochesterregional.org
Direct Messaging Address | Direct | Other | Henrietta, NY 14467
Rochester Regional Health
Full Record
- NPI
- 1184389975
- Entity Type
- Individual
- Last Name
- Peacock
- First Name
- Sydney
- Middle Name
- Lorraine
- Credential
- PA-C
- Provider Other Last Name
- Kraeger
- Provider Other First Name
- Sydney
- Provider Other Middle Name
- Lorraine
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 2685 E Henrietta RD
- Practice City
- Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14467-9370
- Practice Country
- US
- Practice Phone
- (585) 444-0058
- Enumeration Date
- November 05, 2021
- Last Updated
- December 12, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)