Individual
SARA PROCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5087
(631) 287-7308
Mailing address
317 E 34TH ST, NEW YORK, NY 10016-4974
(212) 686-7305
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020422
NY
Other
Enumeration date
01/20/2017
Last updated
02/21/2020
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