Provider Demographics
NPI:1669995965
Name:BEYER, SARAH K (PA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:BEYER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:K
Other - Last Name:COPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:427 GUY PARK AVE
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-1064
Mailing Address - Country:US
Mailing Address - Phone:518-770-7518
Mailing Address - Fax:518-770-7570
Practice Address - Street 1:3768 STATE HIGHWAY 30
Practice Address - Street 2:BROADALBIN HEALTH CENTER
Practice Address - City:BROADALBIN
Practice Address - State:NY
Practice Address - Zip Code:12025-0923
Practice Address - Country:US
Practice Address - Phone:518-883-3121
Practice Address - Fax:518-883-8268
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020907363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant