MEDICARE: MRS. KATHRYN A. SABO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	003352	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942200035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN A. SABO PA-C

Provider Business Mailing Address
First Line	:	3 CARE LN
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-8639
Country	:	US
Telephone Number	:	518-682-2240
Fax Number	:	518-682-2243

Provider Business Practice Location Address
First Line	:	3 CARE LN
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-8639
Country	:	US
Telephone Number	:	518-682-2240
Fax Number	:	518-682-2243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	07/25/2016

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