Provider Demographics
NPI:1467174755
Name:OVERHOFF, SAWYER JOSEPH (PA-C)
Entity Type:Individual
Prefix:
First Name:SAWYER
Middle Name:JOSEPH
Last Name:OVERHOFF
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8788 FEDDICK RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-7008
Mailing Address - Country:US
Mailing Address - Phone:716-771-8486
Mailing Address - Fax:
Practice Address - Street 1:1956 RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3312
Practice Address - Country:US
Practice Address - Phone:716-608-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant