Provider Demographics
NPI:1457684383
Name:SAULNIER, MARCI LYNN (PA)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:LYNN
Last Name:SAULNIER
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 1:3 MOUNTAIN VIEW KNOLLS DR APT F
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2104
Mailing Address - Country:US
Mailing Address - Phone:845-224-5370
Mailing Address - Fax:914-242-7681
Practice Address - Street 1:400 E MAIN ST FL 1
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3417
Practice Address - Country:US
Practice Address - Phone:914-242-7640
Practice Address - Fax:914-242-7681
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013527363A00000X
CT4031363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03205790Medicaid
NY03205790Medicaid
NYWCJ511Medicare PIN