Healthcare Provider Details

I. General information

NPI: 1720904188
Provider Name (Legal Business Name): SARAH KATHERINE PAYE LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 BIRCH LN APT 1B
OSWEGO NY
13126-4262
US

IV. Provider business mailing address

24 BIRCH LN APT 1B
OSWEGO NY
13126-4262
US

V. Phone/Fax

Practice location:
  • Phone: 315-236-8809
  • Fax:
Mailing address:
  • Phone: 315-236-8809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number27513
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: