Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sidney Rae Boty, PA-C

Individual provider Medical Physician Assistant · NPI 1770291536

Sidney Rae Boty, PA-C is a Physician Assistant in New York, New York. Qualified in 2022, 4 years ago. Practices with Sun River Health Inc, a 242-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

347 W 37th St
New York, NY 10018-4202
Phone: (844) 400-1975
Fax: (845) 765-9322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 030488 (NY)

Record details

NPI number1770291536
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 10, 2022
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sun River Health Inc. — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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