Healthcare Provider Details

I. General information

NPI: 1285859306
Provider Name (Legal Business Name): SARAH D ATKINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 02/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 WINTON RD S FINGER LAKES CLINICAL RESEARCH
ROCHESTER NY
14618-1609
US

IV. Provider business mailing address

885 WINTON RD S FINGER LAKES CLINICAL RESEARCH
ROCHESTER NY
14618-1609
US

V. Phone/Fax

Practice location:
  • Phone: 585-241-9670
  • Fax: 585-241-3243
Mailing address:
  • Phone: 585-241-9670
  • Fax: 585-241-3243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number201376
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: