Provider Demographics
NPI:1851856116
Name:BUSQUE, SARA MICHELE (PA- C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MICHELE
Last Name:BUSQUE
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Gender:F
Credentials:PA- C
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Mailing Address - Street 1:407 ALBANY SHAKER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1962
Mailing Address - Country:US
Mailing Address - Phone:518-435-1300
Mailing Address - Fax:518-435-1397
Practice Address - Street 1:407 ALBANY SHAKER RD STE 100
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-1962
Practice Address - Country:US
Practice Address - Phone:518-435-1300
Practice Address - Fax:518-435-1397
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2022-12-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical