Healthcare Provider Details

I. General information

NPI: 1780549840
Provider Name (Legal Business Name): RKS NP IN FAMILY HEALTH P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 OLMSTEAD AVE
BRONX NY
10462-4416
US

IV. Provider business mailing address

1444 OLMSTEAD AVE
BRONX NY
10462-4416
US

V. Phone/Fax

Practice location:
  • Phone: 516-960-3030
  • Fax: 516-960-3028
Mailing address:
  • Phone: 516-960-3030
  • Fax: 516-960-3028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. RADHA K. SAHA
Title or Position: NP
Credential: NP
Phone: 326-261-6862