Healthcare Provider Details

I. General information

NPI: 1992487813
Provider Name (Legal Business Name): SIERRAH B STEIN FHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 FOOTE AVE
JAMESTOWN NY
14701-6947
US

IV. Provider business mailing address

3085 HARLEM RD STE 350
CHEEKTOWAGA NY
14225-2591
US

V. Phone/Fax

Practice location:
  • Phone: 716-898-2800
  • Fax: 716-898-2850
Mailing address:
  • Phone: 716-844-5600
  • Fax: 716-844-5750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF352279
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: