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Individual
JON PETER M SARDEA
Active
Individual
JON PETER M SARDEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
023457
NY
363A00000X
Physician Assistant
Primary
PA65048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023457
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
04/08/2019
Last updated
06/02/2025
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