Organization
SABA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABA ABOLAHRARI M.D. (OWNER)
(917) 547-5614
Entity
Organization
Contact information
Practice address
845 PALMER AVE, MAMARONECK, NY 10543-2406
(631) 271-9151
(631) 271-9155
Mailing address
PO BOX 1785, MINEOLA, NY 11501-0906
(631) 271-9151
(631) 271-9155
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
251481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251481
LICENSE
NY
Enumeration date
09/26/2011
Last updated
09/26/2011
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