National Provider Identifier
Sarah Johanna Antolik, PA-C
Sarah Johanna Antolik, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 275-2100.
Profile Overview
- NPI
- 1992232458
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- May 16, 2017
- Last Updated
- June 29, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2100
Mailing Address
- 78 Kimbark RD
- Rochester, NY 14610-2738
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- slange116563@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1992232458
- Entity Type
- Individual
- Last Name
- Antolik
- First Name
- Sarah
- Middle Name
- Johanna
- Credential
- PA-C
- Provider Other Last Name
- Lange
- Provider Other First Name
- Sarah
- Provider Other Middle Name
- Johanna
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 78 Kimbark RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14610-2738
- Mailing Country
- US
- Mailing Phone
- (585) 545-0271
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2100
- Enumeration Date
- May 16, 2017
- Last Updated
- June 29, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 08, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)