Provider Demographics
NPI:1225099989
Name:NEMETZ, SARAH B (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:NEMETZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:625 PANORAMA TRAIL
Mailing Address - Street 2:BLDG 3, STE 100
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2404
Mailing Address - Country:US
Mailing Address - Phone:585-276-9361
Mailing Address - Fax:585-641-0300
Practice Address - Street 1:625 PANORAMA TRAIL
Practice Address - Street 2:BLDG 3, STE 100
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2404
Practice Address - Country:US
Practice Address - Phone:585-276-9361
Practice Address - Fax:585-641-0300
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2023-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY171432207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01673945Medicaid