Provider Demographics
NPI:1346512845
Name:USMANI, SANA (DO)
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:USMANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 BOYLE RD
Mailing Address - Street 2:SUITE #7
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-1955
Mailing Address - Country:US
Mailing Address - Phone:631-698-0600
Mailing Address - Fax:631-698-2212
Practice Address - Street 1:239 BOYLE RD
Practice Address - Street 2:SUITE #7
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-1955
Practice Address - Country:US
Practice Address - Phone:631-698-0600
Practice Address - Fax:631-698-2212
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-31
Last Update Date:2012-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY265392208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics