Provider Demographics
NPI:1417179326
Name:SAHAY MEDICAL GROUP PC
Entity Type:Organization
Organization Name:SAHAY MEDICAL GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-739-3030
Mailing Address - Street 1:28 HIGH FARMS RD
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2223
Mailing Address - Country:US
Mailing Address - Phone:516-739-3030
Mailing Address - Fax:516-739-3044
Practice Address - Street 1:400 GARDEN CITY PLZ
Practice Address - Street 2:STE#111
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-3322
Practice Address - Country:US
Practice Address - Phone:516-739-3030
Practice Address - Fax:516-739-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RE0101X
NY2169912084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1417179326Medicare PIN
NYWEU671Medicare ID - Type Unspecified