Healthcare Provider Details

I. General information

NPI: 1710544382
Provider Name (Legal Business Name): SARAH BUDIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2019
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WELLNESS WAY STE G02
LATHAM NY
12110-2135
US

IV. Provider business mailing address

6 WELLNESS WAY STE 201
LATHAM NY
12110-2156
US

V. Phone/Fax

Practice location:
  • Phone: 518-782-3900
  • Fax:
Mailing address:
  • Phone: 518-782-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number345829
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: