Provider Demographics
NPI:1154465789
Name:FRIEDMAN, SARA B (PA)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:B
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 WASHINGTON AVE
Mailing Address - Street 2:STUDENT HEALTH CENTER
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12222-0100
Mailing Address - Country:US
Mailing Address - Phone:518-442-5455
Mailing Address - Fax:518-442-5444
Practice Address - Street 1:1400 WASHINGTON AVE
Practice Address - Street 2:STUDENT HEALTH CENTER
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12222-0100
Practice Address - Country:US
Practice Address - Phone:518-442-5455
Practice Address - Fax:518-442-5444
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005320-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical