Individual
SASAN ROAYAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 E 98TH ST, 12TH FLR, NEW YORK, NY 10029-6501
(212) 241-8035
(212) 241-2064
Mailing address
1 GUSTAVE L LEVY PL, BOX 1104, NEW YORK, NY 10029-6574
(212) 241-8035
(212) 241-2064
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
200827
NY
208600000X
Surgery Physician
Primary
200827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02090848
—
NY
Enumeration date
02/23/2006
Last updated
07/20/2012
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