Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 50 057589 | NY |
NPI | 1902119001 |
---|---|
Provider Name | Dr. Mana Saraghi |
First Address | Dix Hills, NY 11746 |
Second Address | Dix Hills, NY 11746 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2010 |
Last Update Date | 08/05/2016 |