Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 136751 | NY |
NPI | 1053321448 |
---|---|
Provider Name | Dr. Peter Sarosi |
First Address | New York, NY 10065-5949 |
Second Address | New York, NY 10021-5949 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 06/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
136751 | LICENSE (01) | NY |
A62484 | (02) | |
AS8822757 | DEA NUMBER (01) |