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NPI Code Detail

MEDICARE: MRS. SARAH MICHELLE INGALSBE-GENO RPA-C, MPAS

MEDICARE: MRS. SARAH MICHELLE INGALSBE-GENO RPA-C, MPAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant009629NY

General Provider Information

NPI Number : 1942290184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH MICHELLE INGALSBE-GENO RPA-C, MPAS
Provider Business Mailing Address
First Line : 6335 BORTLE RD
Second Line :
City : VICTOR
State : NY
Zip : 14564-9525
Country : US
Telephone Number : 360-509-3893
Fax Number : --
Provider Business Practice Location Address
First Line : 1850 E RIDGE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14622-2448
Country : US
Telephone Number : 585-342-3870
Fax Number : 585-342-7938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 03/13/2024

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