Basic Information
Provider Information
NPI: 1811348642
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINNEY
FirstName: SARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: P.A.
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 1001 W FAYETTE ST STE 400
Address2:  
City: SYRACUSE
State: NY
PostalCode: 132042866
CountryCode: US
TelephoneNumber: 3159373433
FaxNumber:  
Practice Location
Address1: 601 ELMWOOD AVE
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146421651
CountryCode: US
TelephoneNumber: 5853417500
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2016
LastUpdateDate: 03/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400X019712NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


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