Individual
SARAH BACKUS HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7870
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04059821
—
NY
Enumeration date
08/11/2011
Last updated
10/19/2022
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