Provider Demographics
NPI:1548806458
Name:FRIERSON, SARAH (MMS, PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FRIERSON
Suffix:
Gender:F
Credentials:MMS, PA-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:BIEDERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MMS, PA-C
Mailing Address - Street 1:220 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2033
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 FRONT ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2033
Practice Address - Country:US
Practice Address - Phone:212-385-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023970363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-14858OtherNORTH CAROLINA PHYSICIAN ASSISTANT LICENSE
NY023970OtherNEW YORK STATE PHYSICIAN ASSISTANT LICENSE
1161864OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS