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Individual

MICHAEL SARGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2975 WESTCHESTER AVE, GO3, PURCHASE, NY 10577-2518
(914) 992-0044
(914) 683-0974
Mailing address
3047 29TH ST, APT 30, ASTORIA, NY 11102-2561
(585) 760-4531

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
133NN1002X
Nutrition Education Nutritionist
174H00000X
Health Educator
Primary

Other

Enumeration date
04/30/2014
Last updated
04/30/2014
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