Individual
DR. MANUCHEHR SASANNEJAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
11/02/2006
Last updated
08/26/2008
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