Provider Demographics
NPI:1497758858
Name:SAXER, EDWARD LEE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:LEE
Last Name:SAXER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3601 HEMPSTEAD TPKE
Mailing Address - Street 2:STE 125
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1377
Mailing Address - Country:US
Mailing Address - Phone:516-520-6540
Mailing Address - Fax:516-520-1510
Practice Address - Street 1:3601 HEMPSTEAD TPKE
Practice Address - Street 2:STE 125
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1377
Practice Address - Country:US
Practice Address - Phone:516-520-6540
Practice Address - Fax:516-520-1510
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY198153208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY198153OtherMEDICAL LICENSE
NY198153OtherMEDICAL LICENSE
NY1OU061Medicare ID - Type Unspecified