Provider Demographics
NPI:1568192003
Name:WESOLOWSKI, SARAH ROSE (PA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSE
Last Name:WESOLOWSKI
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:50 CASCADE DR APT LEFT
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1826
Mailing Address - Country:US
Mailing Address - Phone:716-445-9454
Mailing Address - Fax:
Practice Address - Street 1:3190 NIAGARA FALLS BLVD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1639
Practice Address - Country:US
Practice Address - Phone:716-799-1002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant