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Individual

EDWARD A SASSAMAN

Active
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Individual

EDWARD A SASSAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
197323
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
197323
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00040452902
UNIVERA #
NY
01
0191601
IHA #
NY
01
101546DL
PREFERRED CARE #
NY
01
197323-9W
WORKERS COMP #
NY
01
P010197323
BLUE CHOICE #
NY
Enumeration date
06/15/2006
Last updated
10/28/2010
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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