Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 122223 | NY |
NPI | 1275695298 |
---|---|
Provider Name | Paul Saenger |
First Address | Mineola, NY 11501-4089 |
Second Address | Mineola, NY 11501-4089 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 26/03/2021 |