Provider Demographics
NPI:1497932602
Name:PACE, SARAH ANN (DC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:PACE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:STACER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:150 LINDEN OAKS
Mailing Address - Street 2:STE A
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2824
Mailing Address - Country:US
Mailing Address - Phone:585-218-4212
Mailing Address - Fax:585-218-4215
Practice Address - Street 1:150 LINDEN OAKS
Practice Address - Street 2:SUITE D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2802
Practice Address - Country:US
Practice Address - Phone:585-218-4212
Practice Address - Fax:585-218-4215
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2018-10-02
Deactivation Date:2008-02-07
Deactivation Code:
Reactivation Date:2008-05-20
Provider Licenses
StateLicense IDTaxonomies
NY0111081111N00000X
NYX0111081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV08503Medicare UPIN
NYRA9832Medicare PIN