Individual
SARAH HASELTINE VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 YORK AVE, 11TH FLOOR, NEW YORK, NY 10021-5663
(646) 962-2020
Mailing address
1305 YORK AVE FL 11, NEW YORK, NY 10021-5663
(646) 962-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
287917
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
287917
NY
Other
Enumeration date
06/14/2012
Last updated
06/21/2023
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