Organization
SANDRA FEFER-SADLER MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA MYRIAM FEFER-SADLER MD (OWNER)
(845) 786-0000
Entity
Organization
Contact information
Practice address
41 NEW MAIN ST, HAVERSTRAW, NY 10927-1876
(845) 786-0000
Mailing address
41 NEW MAIN ST, HAVERSTRAW, NY 10927-1876
(845) 786-0000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
207382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01771791
—
NY
01
—
1245211309
NPI TYPE 1
—
01
—
227
HUDSON HEALTH PLAN
NY
01
—
2322ZA1
EMPIRE BC & BS
—
Enumeration date
09/13/2011
Last updated
09/13/2011
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