Provider Demographics
NPI:1740593425
Name:SACHEL, BETHANY M (PA)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:M
Last Name:SACHEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:675 ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-6562
Mailing Address - Country:US
Mailing Address - Phone:518-566-0672
Mailing Address - Fax:518-566-0641
Practice Address - Street 1:1026 UNION RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3445
Practice Address - Country:US
Practice Address - Phone:716-712-0851
Practice Address - Fax:716-712-0853
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY014097363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant