Provider Demographics
NPI:1790897734
Name:SAHAY, SANJAY (MD)
Entity Type:Individual
Prefix:
First Name:SANJAY
Middle Name:
Last Name:SAHAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 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:516-656-3001
Mailing Address - Fax:516-739-3044
Practice Address - Street 1:400 GARDEN CITY PLZ
Practice Address - Street 2:SUITE#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
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203818174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY16X98EU671Medicare ID - Type Unspecified
NYG49890Medicare UPIN