Healthcare Provider Details

I. General information

NPI: 1639585987
Provider Name (Legal Business Name): RENEE Y SAWKA RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 E ROBINSON RD STE 207
WEST AMHERST NY
14228-2044
US

IV. Provider business mailing address

1150 YOUNGS RD STE 104
WILLIAMSVILLE NY
14221-8024
US

V. Phone/Fax

Practice location:
  • Phone: 716-564-1111
  • Fax: 716-564-1128
Mailing address:
  • Phone: 813-949-2950
  • Fax: 813-949-2924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number017602
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: