Provider Demographics
NPI:1720550387
Name:HEDRICK-ATTARI, SARIAH NOELLE (PA)
Entity Type:Individual
Prefix:
First Name:SARIAH
Middle Name:NOELLE
Last Name:HEDRICK-ATTARI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 COUNTY ROUTE 45A
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-6664
Mailing Address - Country:US
Mailing Address - Phone:315-312-0089
Mailing Address - Fax:
Practice Address - Street 1:105 COUNTY ROUTE 45A STE 400
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-6673
Practice Address - Country:US
Practice Address - Phone:315-312-0089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022063207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology