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NPI Code Detail

MEDICARE: DAVID E SAUSNER, O.D.,PLLC

MEDICARE: DAVID E SAUSNER, O.D.,PLLC
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
1332B00000XDurable Medical Equipment & Medical SuppliesTUV004709-1NY

General Provider Information

NPI Number : 1154509107
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID E SAUSNER, O.D.,PLLC
Provider Business Mailing Address
First Line : 1018 PARK BLVD
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-2711
Country : US
Telephone Number : 516-798-9226
Fax Number : 516-798-2087
Provider Business Practice Location Address
First Line : 1018 PARK BLVD
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-2711
Country : US
Telephone Number : 516-798-9226
Fax Number : 516-798-2087
Authorized Official
Title or Position : OWNER
Name : DR. DAVID E SAUSNER
Credential : O.D.
Telephone Number : 516-798-9226
Provider Enumeration Date : 02/01/2008
Last Update Date : 01/31/2011

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