Provider Demographics
NPI:1225033236
Name:SIRKIN, SARA RACHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:RACHEL
Last Name:SIRKIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2441 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-9405
Mailing Address - Country:US
Mailing Address - Phone:716-836-8700
Mailing Address - Fax:716-446-9198
Practice Address - Street 1:2441 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9405
Practice Address - Country:US
Practice Address - Phone:716-836-8700
Practice Address - Fax:716-446-9198
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2008-02-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY104165207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00631714Medicaid
NY0520880001Medicare NSC
NY11487AMedicare PIN
NYB35944Medicare UPIN