Provider Demographics
NPI:1992545461
Name:JOERGER, SARA J
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:JOERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-1111
Mailing Address - Country:US
Mailing Address - Phone:315-750-5948
Mailing Address - Fax:
Practice Address - Street 1:132 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1111
Practice Address - Country:US
Practice Address - Phone:315-750-5948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency