Provider Demographics
NPI:1699047969
Name:MCGOWAN, SARA (RPA-C)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:164 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3411
Mailing Address - Country:US
Mailing Address - Phone:631-669-6900
Mailing Address - Fax:631-669-4703
Practice Address - Street 1:5100 SUNRISE HWY FL 2
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA PARK
Practice Address - State:NY
Practice Address - Zip Code:11762-2935
Practice Address - Country:US
Practice Address - Phone:516-548-3495
Practice Address - Fax:631-669-4703
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2023-10-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical