Provider Demographics
NPI:1083907588
Name:MAZZAFERRO, SARAH E (PA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:MAZZAFERRO
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Gender:F
Credentials:PA
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Mailing Address - Street 1:315 S MANNING BLVD
Mailing Address - Street 2:RM 7422
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-1789
Mailing Address - Country:US
Mailing Address - Phone:518-525-1550
Mailing Address - Fax:518-525-6815
Practice Address - Street 1:315 S MANNING BLVD
Practice Address - Street 2:RM 7422
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1789
Practice Address - Country:US
Practice Address - Phone:518-525-1550
Practice Address - Fax:518-525-6815
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2021-05-21
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Provider Licenses
StateLicense IDTaxonomies
NY014889363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical