National Provider Identifier
Lisa A Sorrentino, PA
Lisa A Sorrentino, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 568-3600.
Profile Overview
- NPI
- 1326148404
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 25, 2006
- Last Updated
- August 05, 2022
Practice Location
- 1440 Maple Road
- Williamsville, NY 14221
Phone: (716) 568-3600
Mailing Address
- 275 Northpointe Parkway
- Suite 50
- Amherst, NY 14228
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1326148404
- Entity Type
- Individual
- Last Name
- Sorrentino
- First Name
- Lisa
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- PA
- Provider Other Last Name
- Phillians
- Provider Other First Name
- Lisa
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 275 Northpointe Parkway
- Mailing Address Line 2
- Suite 50
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14228
- Mailing Country
- US
- Mailing Phone
- (716) 834-1191
- Mailing Fax
- (716) 923-4380
- Practice Street Address
- 1440 Maple Road
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 568-3600
- Practice Fax
- (716) 923-4384
- Enumeration Date
- September 25, 2006
- Last Updated
- August 05, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 05, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 000528916002 (NY, BCBS), 02839196 (NY), 197646BJ (NY, Preferred Care), 9514041 (NY, Independent Health), 00027798902 (NY, Univera), 00027798901 (NY, Univera), 000528916001 (NY, BCBS), 070209000070 (NY, Fidelis)