Healthcare Provider Details

I. General information

NPI: 1871292334
Provider Name (Legal Business Name): SARAH M LEHOTSKY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH HICKEY FNP

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 02/26/2025
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 EAST ROBINSON ROAD SUITE 205
WEST AMHERST NY
14228-2041
US

IV. Provider business mailing address

8205 MAIN STREET SUITE10
WILLIAMSVILLE NY
14221-6054
US

V. Phone/Fax

Practice location:
  • Phone: 716-691-3400
  • Fax: 716-691-3404
Mailing address:
  • Phone: 716-539-0789
  • Fax: 716-250-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number341107
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number351107
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: