Provider Demographics
NPI:1871292334
Name:LEHOTSKY, SARAH M (FNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:M
Last Name:LEHOTSKY
Suffix:
Gender:
Credentials:FNP
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:HICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:8205 MAIN STREET
Mailing Address - Street 2:SUITE10
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6054
Mailing Address - Country:US
Mailing Address - Phone:716-539-0789
Mailing Address - Fax:716-250-9090
Practice Address - Street 1:3950 EAST ROBINSON ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:WEST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2041
Practice Address - Country:US
Practice Address - Phone:716-691-3400
Practice Address - Fax:716-691-3404
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341107363LF0000X
NY351107363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07697969Medicaid