MEDICARE: AARON R SASSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	21829	NE
2	2086X0206X	Surgical Oncology Physician	21829	NE
3	2086X0206X	Surgical Oncology Physician	281708	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073563953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON R SASSON MD

Provider Business Mailing Address
First Line	:	PO BOX 1554
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-0988
Country	:	US
Telephone Number	:	631-444-2034
Fax Number	:

Provider Business Practice Location Address
First Line	:	HST LEVEL 18 RM 065
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-8191
Country	:	US
Telephone Number	:	631-444-8086
Fax Number	:	631-444-7871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	04/15/2022

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