Provider Demographics
NPI:1255356077
Name:BLATZ, SARAH J (RPA-C)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:J
Last Name:BLATZ
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:6 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3791
Practice Address - Country:US
Practice Address - Phone:518-641-6319
Practice Address - Fax:518-641-6850
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2019-02-12
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Provider Licenses
StateLicense IDTaxonomies
PAMA052589363AM0700X
NY012627363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q70451Medicare UPIN