Provider Demographics
NPI:1225482334
Name:SAWAI, MIO (MD)
Entity Type:Individual
Prefix:MRS
First Name:MIO
Middle Name:
Last Name:SAWAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SECOND AVE
Mailing Address - Street 2:SUITE 815
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2805
Mailing Address - Country:US
Mailing Address - Phone:212-263-8682
Mailing Address - Fax:212-883-5852
Practice Address - Street 1:800 SECOND AVE
Practice Address - Street 2:SUITE 815
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2805
Practice Address - Country:US
Practice Address - Phone:212-263-8682
Practice Address - Fax:212-883-5852
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312007207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program