Organization Name: | SANDRA FEFER-SADLER MEDICAL P.C. |
NPI Number: | 1326320698 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA MYRIAM FEFER-SADLER (OWNER) |
Mailing Address: | 41 New Main St Haverstraw |
State: | NY US |
Postal Code: | 109271876 |
Phone Number: | 8457860000 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2011 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 207382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |