Provider Demographics
NPI:1760726921
Name:HAND, SARAH JEAN (RPAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:HAND
Suffix:
Gender:F
Credentials:RPAC
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Mailing Address - Street 1:99 E STATE ST
Mailing Address - Street 2:PO BOX 1250
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-1203
Mailing Address - Country:US
Mailing Address - Phone:518-661-5441
Mailing Address - Fax:518-661-5452
Practice Address - Street 1:2497 STATE HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:NY
Practice Address - Zip Code:12117-3495
Practice Address - Country:US
Practice Address - Phone:518-661-5441
Practice Address - Fax:518-661-5452
Is Sole Proprietor?:No
Enumeration Date:2012-11-12
Last Update Date:2019-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY016082363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY100000328939OtherMVP HEALTH PLAN
NY100000328939OtherMVP HEALTH PLAN