Provider Demographics
NPI:1871365031
Name:DEUTSCH, SARA LIBA (PA-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LIBA
Last Name:DEUTSCH
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 1:2139 58TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2014
Mailing Address - Country:US
Mailing Address - Phone:718-314-9013
Mailing Address - Fax:
Practice Address - Street 1:2139 58TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2014
Practice Address - Country:US
Practice Address - Phone:718-314-9013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant