Healthcare Provider Details

I. General information

NPI: 1447765425
Provider Name (Legal Business Name): MS. SARAH ZOIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2017
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3349 MONROE AVE
ROCHESTER NY
14618-5513
US

IV. Provider business mailing address

3349 MONROE AVE
ROCHESTER NY
14618-5513
US

V. Phone/Fax

Practice location:
  • Phone: 585-381-1616
  • Fax: 585-381-0718
Mailing address:
  • Phone: 585-381-1616
  • Fax: 585-381-0718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number009635-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: