Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | NOO2873 | NY |
NPI | 1376537134 |
---|---|
Provider Name | Dr. Gary S Saphire |
First Address | Brooklyn, NY 11204-4934 |
Second Address | Brooklyn, NY 11204-4934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000055293 | GHI HMO SELECT (01) | NY |
0000067486 | LOCAL 285 (01) | NY |
00415334 | (05) | NY |
004228473 | AETNA (01) | NY |
0047935 | GHI (01) | NY |
0528724006 | CIGNA (01) | NY |
112504358 | METROPOLITAN LIFE (01) | NY |
2306889 | US HEALTH CARE (01) | NY |
25272 | UNITED HEALTH CARE (01) | NY |
263150101 | HEALTH PLUS (01) | NY |
4C7788 | HEALTH NET (01) | NY |
KS889 | MEDICARE ADVANTAGE (01) | NM |
KS889 | OXFORD (01) | NY |
P89992 | EMPIRE BLUE CROSS BLUE SH (01) | NY |
SP6927 | CENTERCARE (01) | NY |
T50903 | (02) | NY |