Organization
MANUCHEHR SASANNEJAD MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUCHEHR SASANNEJAD MD (OWNER)
(845) 343-1856
Entity
Organization
Contact information
Practice address
510 E MAIN ST, MIDDLETOWN, NY 10940-2632
(845) 343-1856
(845) 343-0611
Mailing address
510 E MAIN ST, MIDDLETOWN, NY 10940-2632
(845) 343-1856
(845) 343-0611
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
121795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00386085
—
NY
Enumeration date
03/11/2008
Last updated
12/09/2010
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