Provider Demographics
NPI:1033343173
Name:SPILLMAN, SARAH H (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:H
Last Name:SPILLMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2780 DELAWARE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2740
Mailing Address - Country:US
Mailing Address - Phone:716-839-8000
Mailing Address - Fax:716-844-8009
Practice Address - Street 1:2780 DELAWARE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-2740
Practice Address - Country:US
Practice Address - Phone:716-839-8000
Practice Address - Fax:716-844-8009
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2012-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY257205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine