Provider Demographics
NPI:1740316637
Name:SARTORI, ROLAND M (RPA)
Entity type:Individual
Prefix:MR
First Name:ROLAND
Middle Name:M
Last Name:SARTORI
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:24839 88TH DR
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-2031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 E 233RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2604
Practice Address - Country:US
Practice Address - Phone:718-920-8121
Practice Address - Fax:718-920-9212
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011441363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical