| Doctor Name: | SYDNEY LEIGH SHRECK |
| NPI Number: | 1134599327 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 019151 |
| Business Practice Address: | 1 Atwell Rd Cooperstown, NY - 133261301 |
| Business Phone Number: | 6075473456 |
| Business Fax Number: | |
| Mailing Address: | 60 Chestnut St Apt 4, COOPERSTOWN |
| State: | NY |
| Postal Code: | 133261117 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2015 |
| NPI Last Update Date: | 09/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 019151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |