Healthcare Provider Details

I. General information

NPI: 1245202639
Provider Name (Legal Business Name): ROXAN F SAIDI MD, MHS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 ROUTE 312
BREWSTER NY
10509-2337
US

IV. Provider business mailing address

185 ROUTE 312
BREWSTER NY
10509-2337
US

V. Phone/Fax

Practice location:
  • Phone: 845-278-7000
  • Fax:
Mailing address:
  • Phone: 845-278-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number237527
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number237527
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: