MR. DAVID R SANON


Address: 150 55 Th Street, Lutheran Medical Center, Brooklyn, NY 11220-2574
Phone: 7186307351

MR. DAVID R SANON (NPI# 1316279995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316279995
Entity Type Individual
Full Name MR. DAVID R SANON
Credential PA-C
Practice Address 150 55 Th Street
Lutheran Medical Center
Brooklyn
NY 11220-2574
Practice Telephone 7186307351
Mailing Telephone 7186307351
Enumeration Date 2010-02-05
Last Update Date 2010-02-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0124641 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 150 55 TH STREET
LUTHERAN MEDICAL CENTER
City BROOKLYN
State NY
Zip Code 11220-2574

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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1417386640 Alexandra Demeglio Physician Assistant 1357 Ovington Ave, Brooklyn, NY 11219-6111 2013-11-07
1659706570 Lyudmila Trubetsky Physician Assistant 2942 W 5th St, Apt. 7t, Brooklyn, NY 11224-3834 2013-09-10
1831531094 Julio Alberto Chau Physician Assistant 173 Clinton St Apt B, Brooklyn, NY 11201-5640 2013-07-29
1164799508 James Earl La Voy Physician Assistant 257 Gold St, # 6 J, Brooklyn, NY 11201-2034 2011-11-30
1629363486 Michael Joseph Levine Physician Assistant 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 2011-06-09
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Competitor

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City BROOKLYN
Zip Code 11220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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