Doctor Name: | SARAH SIEGFRIED |
NPI Number: | 1003164021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F382289-1 |
Business Practice Address: | 601 Elmwood Ave Box 619-334 Rochester, NY - 146420001 |
Business Phone Number: | 5854725690 |
Business Fax Number: | |
Mailing Address: | 601 Elmwood Ave, Box 619-334 ROCHESTER |
State: | NY |
Postal Code: | 146420001 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/23/2012 |
NPI Last Update Date: | 08/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F382289-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |