Individual
KEVIN SANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 PATCHOGUE YAPHANK RD, SUITE C, E PATCHOGUE, NY 11772-4886
(631) 289-0300
(631) 289-0402
Mailing address
260 PATCHOGUE YAPHANK RD, SUITE C, E PATCHOGUE, NY 11772-4886
(631) 289-0300
(631) 289-0402
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
221818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02395953
—
NY
01
—
P00028641
RAILROAD MEDICARE
NY
Enumeration date
07/26/2006
Last updated
03/16/2010
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