Provider Demographics
NPI:1710638283
Name:SINCLAIR, ELIZABETH SMITH (PA-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SMITH
Last Name:SINCLAIR
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:415-520-0904
Practice Address - Street 1:919 3RD AVE STE 105
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3902
Practice Address - Country:US
Practice Address - Phone:212-530-0650
Practice Address - Fax:212-867-4353
Is Sole Proprietor?:No
Enumeration Date:2022-01-15
Last Update Date:2024-05-06
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
NY027921363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant