Individual
MIGUEL ANGEL SAGASTUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-5646
NY
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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