National Provider Identifier

Sara Wick

Sara Wick is listed in the NPPES registry with a primary specialty of Physician Assistant in Lyons, NY and a listed phone number of (315) 946-6075.

NPI 1942017397Lyons, NYPhysician Assistant

Profile Overview

NPI
1942017397
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
December 18, 2024
Last Updated
January 27, 2025

Practice Location

  • 12 Leach RD
  • Lyons, NY 14489-9732

Phone: (315) 946-6075

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1942017397
Entity Type
Individual
Last Name
Wick
First Name
Sara
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
12 Leach RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9732
Practice Country
US
Practice Phone
(315) 946-6075
Enumeration Date
December 18, 2024
Last Updated
January 27, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)