Provider Demographics
NPI:1801676580
Name:STAUFFER, SYDNIE ANN (OTR)
Entity type:Individual
Prefix:
First Name:SYDNIE
Middle Name:ANN
Last Name:STAUFFER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2353 STATE ROUTE 19 N
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-9356
Mailing Address - Country:US
Mailing Address - Phone:181-438-9701
Mailing Address - Fax:
Practice Address - Street 1:260 STATE ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1041
Practice Address - Country:US
Practice Address - Phone:585-353-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist