Healthcare Provider Details

I. General information

NPI: 1487202404
Provider Name (Legal Business Name): SARAH BUHELT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 ALTAMONT AVE
SCHENECTADY NY
12303-2909
US

IV. Provider business mailing address

236 STATE ST UNIT 212
SCHENECTADY NY
12305-1813
US

V. Phone/Fax

Practice location:
  • Phone: 518-264-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number023952
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: