Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sherradyn Lee Mack, PA

Individual provider Physician Assistant · NPI 1952553620

Sherradyn Lee Mack, PA is a Physician Assistant in Syracuse, New York. Qualified in 2008, 18 years ago. Practices with Suny Health Science Center at Syracuse, a 210-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4900 Broad Rd
Syracuse, NY 13215-2265
Phone: (315) 492-5535
Fax: (315) 492-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012852 (NY)

Record details

NPI number1952553620
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2008
Last updated in NPPESOctober 21, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Suny Health Science Center At Syracuse — 210 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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