Provider Demographics
NPI:1407082720
Name:WINTER, SARA MARIA (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MARIA
Last Name:WINTER
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
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Mailing Address - Street 1:88 ARKAY DR
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-3757
Mailing Address - Country:US
Mailing Address - Phone:631-514-7600
Mailing Address - Fax:631-514-7601
Practice Address - Street 1:88 ARKAY DR
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-3757
Practice Address - Country:US
Practice Address - Phone:631-514-7600
Practice Address - Fax:631-514-7601
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY012689363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant