Individual
MR. ANTONIO SAHAGUN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
347 STOCKHOLM STREET, BROOKLYN, NY 11237
(718) 907-8370
Mailing address
840 E MEADOW AVE, EAST MEADOW, NY 11554-5231
(516) 225-5073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012133-1
NY
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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