Healthcare Provider Details
I. General information
NPI: 1144898438
Provider Name (Legal Business Name): HANNAH SAILE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/14/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
61 N STATE ST
NUNDA NY
14517-9785
US
IV. Provider business mailing address
10869 STATE ROUTE 36
DANSVILLE NY
14437-9444
US
V. Phone/Fax
- Phone: 585-468-2528
- Fax: 585-468-5424
- Phone: 585-335-3100
- Fax: 585-335-8695
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 026757 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 26757 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: