National Provider Identifier
Lance Miguel Aris Demavivas Sares, PT
Lance Miguel Aris Demavivas Sares, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Geneva, NY and a listed phone number of (315) 787-4570.
Profile Overview
- NPI
- 1386350346
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- January 24, 2023
- Last Updated
- January 24, 2023
Practice Location
- 196 North St
- Geneva, NY 14456-1651
Phone: (315) 787-4570
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1386350346
- Entity Type
- Individual
- Last Name
- Sares
- First Name
- Lance Miguel Aris
- Middle Name
- Demavivas
- Credential
- PT
- Mailing Street Address
- 196 North St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1651
- Mailing Country
- US
- Mailing Phone
- (315) 787-4570
- Mailing Fax
- (315) 787-4573
- Practice Street Address
- 196 North St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1651
- Practice Country
- US
- Practice Phone
- (315) 787-4570
- Practice Fax
- (315) 787-4573
- Enumeration Date
- January 24, 2023
- Last Updated
- January 24, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 24, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)