Individual
MISS SARA PATRICIA BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1184 5TH AVE, NEW YORK, NY 10029
(212) 241-3467
Mailing address
42 SEVEN BRIDGES RD, CHAPPAQUA, NY 10514-1512
(516) 313-9827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015632-1
NY
363AM0700X
Medical Physician Assistant
Primary
015632-1
NY
363AS0400X
Surgical Physician Assistant
01563201
NY
Other
Enumeration date
06/13/2012
Last updated
06/21/2018
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