Provider Demographics
NPI:1386687374
Name:MEYER, SABRINA ZANOWICK (CRNP)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:ZANOWICK
Last Name:MEYER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 BRYANT ST.
Mailing Address - Street 2:PEDIATRIC UROLOGY OF WNY, P.C.
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222
Mailing Address - Country:US
Mailing Address - Phone:716-878-7393
Mailing Address - Fax:716-878-7096
Practice Address - Street 1:219 BRYANT ST.
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222
Practice Address - Country:US
Practice Address - Phone:716-878-7393
Practice Address - Fax:716-878-7096
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382088363LP0200X
PASP007475363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics