Healthcare Provider Details

I. General information

NPI: 1669941944
Provider Name (Legal Business Name): SARAH LABARRE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1468 MADISON AVE
NEW YORK NY
10029
US

IV. Provider business mailing address

343 4TH AVE APT 2E
BROOKLYN NY
11215-2720
US

V. Phone/Fax

Practice location:
  • Phone: 646-605-4648
  • Fax:
Mailing address:
  • Phone: 724-991-5264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601011463
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number022688
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: