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Individual

SARAH A. JUDKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7330
Mailing address
4511 HARLEM ROAD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381668-1
NY
363LP2300X
Primary Care Nurse Practitioner
F381668
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027157703
UNIVERA
01
000560905003
BC/BS
05
02601238
NY
01
060502000066
FIDELIS
01
9512890
IHA
Enumeration date
04/15/2006
Last updated
10/23/2008
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