Individual
EDWARD A SASSAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 BRIGHTON HENRIETTA TOWN LINE ROAD, ROCHESTER, NY 14623
(585) 424-6210
(585) 424-1202
Mailing address
800 CARTER STREET, ROCHESTER, NY 14621
(585) 339-4793
(585) 336-4845
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
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