Basic Information
Provider Information
NPI: 1801417332
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BILSKI
FirstName: SARAH
MiddleName: CATHERINE
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 311 W 24TH ST FL 4
Address2:  
City: ERIE
State: PA
PostalCode: 165022665
CountryCode: US
TelephoneNumber: 8144525101
FaxNumber: 8144525097
Practice Location
Address1: 232 W 25TH ST
Address2:  
City: ERIE
State: PA
PostalCode: 165440002
CountryCode: US
TelephoneNumber: 8144525354
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/06/2020
LastUpdateDate: 05/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XOT020009PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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