Provider Demographics
NPI:1144898438
Name:SAILE, HANNAH L (PA-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:L
Last Name:SAILE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10869 STATE ROUTE 36
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-9444
Mailing Address - Country:US
Mailing Address - Phone:585-335-3100
Mailing Address - Fax:585-335-8695
Practice Address - Street 1:61 N STATE ST
Practice Address - Street 2:
Practice Address - City:NUNDA
Practice Address - State:NY
Practice Address - Zip Code:14517-9785
Practice Address - Country:US
Practice Address - Phone:585-468-2528
Practice Address - Fax:585-468-5424
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267572084P0804X
363AS0400X
NY026757363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06683912Medicaid