National Provider Identifier

Sarah Nicole Braciak, PA-C

Sarah Nicole Braciak, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 218-1000.

NPI 1639845613Williamsville, NYPhysician Assistant

Profile Overview

NPI
1639845613
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 19, 2021
Last Updated
October 05, 2022

Practice Location

  • 40 George Karl Blvd
  • Williamsville, NY 14221-7183

Phone: (716) 218-1000

Mailing Address

  • 601 Elmwood Ave Box 278984
  • Rochester, NY 14642-3029

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1639845613
Entity Type
Individual
Last Name
Braciak
First Name
Sarah
Middle Name
Nicole
Name Prefix
MS.
Credential
PA-C
Mailing Street Address
601 Elmwood Ave Box 278984
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-3029
Mailing Country
US
Mailing Phone
(585) 341-7500
Practice Street Address
40 George Karl Blvd
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7183
Practice Country
US
Practice Phone
(716) 218-1000
Enumeration Date
August 19, 2021
Last Updated
October 05, 2022
Sex
Female
Sole Proprietor
No
Certification Date
October 05, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)