Provider Demographics
NPI:1912253469
Name:HILL, SARAH E (FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:E
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:LALONDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:3 BRIDGE STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-1323
Mailing Address - Country:US
Mailing Address - Phone:315-493-7334
Mailing Address - Fax:315-493-1811
Practice Address - Street 1:3 BRIDGE STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-1323
Practice Address - Country:US
Practice Address - Phone:315-493-7334
Practice Address - Fax:315-493-1811
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337308-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03497050Medicaid
NY03497050Medicaid
NYJ400078246Medicare UPIN