MEDICARE: KATHERINE HEYMAN SAUNDERS 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	207R00000X	Internal Medicine Physician	273027	NY

General Provider Information

NPI Number	:	1548550395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE HEYMAN SAUNDERS MD

Provider Business Mailing Address
First Line	:	1165 YORK AVE
Second Line	:	COMPREHENSIVE WEIGHT CONTROL CENTER
City	:	NEW YORK
State	:	NY
Zip	:	10065-7917
Country	:	US
Telephone Number	:	646-962-2111
Fax Number	:	646-962-0159

Provider Business Practice Location Address
First Line	:	1165 YORK AVE
Second Line	:	COMPREHENSIVE WEIGHT CONTROL CENTER
City	:	NEW YORK
State	:	NY
Zip	:	10065-7917
Country	:	US
Telephone Number	:	646-962-2111
Fax Number	:	646-962-0159

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

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	07/14/2015

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