Healthcare Provider Details

I. General information

NPI: 1548171200
Provider Name (Legal Business Name): SARA ABUELGASIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MERRICK AVE
EAST MEADOW NY
11554-1578
US

IV. Provider business mailing address

7523 MAIN ST # 974
FLUSHING NY
11367-7652
US

V. Phone/Fax

Practice location:
  • Phone: 516-222-9300
  • Fax:
Mailing address:
  • Phone: 516-222-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP136069
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: