Healthcare Provider Details

I. General information

NPI: 1902992415
Provider Name (Legal Business Name): DAVID ALLEN SAGER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 12/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4895 ST RT 52
JEFFERSONVILLE NY
12748
US

IV. Provider business mailing address

596 SWISS HILL NORTH
JEFFERSONVILLE NY
12748
US

V. Phone/Fax

Practice location:
  • Phone: 845-482-4442
  • Fax: 845-482-4450
Mailing address:
  • Phone: 845-482-3219
  • Fax: 845-482-4450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX008550
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: