Individual
DR. SARAH EMILY HARTZOG I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 5TH AVE, THE CONTINUUM CENTER FOR HEALTH AND HEALING, NEW YORK, NY 10016-8728
(646) 935-2244
(646) 935-2273
Mailing address
245 5TH AVE, THE CONTINUUM CENTER FOR HEALTH AND HEALING, NEW YORK, NY 10016-8728
(646) 935-2259
(646) 935-2273
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
169506-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01335074
—
CO
01
—
33507
STATE LICENSE NUMBER
CO
01
—
38745
BCBS PROVIDER NUMBER
CO
01
—
4843940-8905
STATE LICENSE NUMBER
UT
01
—
48439401200001
BCBS PROVIDER NUMBER
UT
01
—
TL30522
STATE LICENSE
SC
Enumeration date
04/10/2006
Last updated
10/21/2008
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