Provider Demographics
NPI:1831602754
Name:SAWYER, DANIELLE (PA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:SAWYER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:19436 HOWELL DR STE A
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-6923
Mailing Address - Country:US
Mailing Address - Phone:315-786-2000
Mailing Address - Fax:315-755-6001
Practice Address - Street 1:19436 HOWELL DR STE A
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-6923
Practice Address - Country:US
Practice Address - Phone:315-786-2000
Practice Address - Fax:315-755-6001
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY021492363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant