Healthcare Provider Details

I. General information

NPI: 1447921762
Provider Name (Legal Business Name): SARAH WILK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2021
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 3RD ST
CAMDEN NY
13316-1199
US

IV. Provider business mailing address

6155 AIRPORT RD
ORISKANY NY
13424-4003
US

V. Phone/Fax

Practice location:
  • Phone: 315-245-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: