Provider Demographics
NPI:1356504773
Name:RENE S. RODRIGUEZ-SAINS, M.D, P.C.
Entity Type:Organization
Organization Name:RENE S. RODRIGUEZ-SAINS, M.D, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:RODRIGUEZ-SAINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-535-0315
Mailing Address - Street 1:799 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3275
Mailing Address - Country:US
Mailing Address - Phone:212-535-0315
Mailing Address - Fax:212-535-2624
Practice Address - Street 1:799 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3275
Practice Address - Country:US
Practice Address - Phone:212-535-0315
Practice Address - Fax:212-535-2624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135656207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00570998Medicaid
NY00570998Medicaid
NYD47382Medicare UPIN