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Individual

DR. MELISSA SAPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
150 E SUNRISE HWY, 208, LINDENHURST, NY 11757-2598
(631) 225-7200
(631) 930-9451
Mailing address
150 E SUNRISE HWY, 208, LINDENHURST, NY 11757-2598
(631) 225-7200
(631) 930-9451

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
185009
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01888206
NY
01
300110623
RAILROAD MEDICARE
NY
Enumeration date
07/28/2005
Last updated
02/19/2010
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