Basic Information
| Provider Information | |||||||||
| NPI: | 1669138194 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | GEIST | ||||||||
| FirstName: | SABRINA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 FENCEWOOD LN | ||||||||
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| City: | HAMLIN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 144649502 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 480 GENESEE ST | ||||||||
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| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146113634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854235800 | ||||||||
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| ProviderEnumerationDate: | 11/09/2021 | ||||||||
| LastUpdateDate: | 11/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0114X | 566472 | NY | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery |
No ID Information.