=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366021982
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH QUINN MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2021
-----------------------------------------------------
Last Update Date | 07/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 HIGH ST
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14203-1126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-859-5600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2568 WALDEN AVE STE 103
-----------------------------------------------------
City | CHEEKTOWAGA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14225-4760
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-632-1088
-----------------------------------------------------
Fax | 716-632-7842
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | 337394
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------