Individual
MS. SARAH ANN KONIARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C, RD
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
006827
NY
363AM0700X
Medical Physician Assistant
Primary
021368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1148211
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
—
Enumeration date
09/20/2017
Last updated
06/13/2019
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