Provider Demographics
NPI:1336567429
Name:PRICE, SARAH OAKLEY (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:OAKLEY
Last Name:PRICE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:OAKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:4 CAZENOVIA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1706
Mailing Address - Country:US
Mailing Address - Phone:716-826-4800
Mailing Address - Fax:716-826-5643
Practice Address - Street 1:4 CAZENOVIA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1706
Practice Address - Country:US
Practice Address - Phone:716-826-4800
Practice Address - Fax:716-826-5643
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007671-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant