Provider Demographics
NPI:1841383064
Name:SANGER, HEIDI S (MD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:S
Last Name:SANGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-2827
Mailing Address - Country:US
Mailing Address - Phone:914-395-1530
Mailing Address - Fax:914-395-1559
Practice Address - Street 1:MMG - EASTCHESTER
Practice Address - Street 2:440 WHITE PLAINS ROAD
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709
Practice Address - Country:US
Practice Address - Phone:914-395-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine