Healthcare Provider Details

I. General information

NPI: 1467500082
Provider Name (Legal Business Name): LOUIS SAFFRAN PHYSICIAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N VILLAGE AVE SUITE 300
ROCKVILLE CENTRE NY
11570-2341
US

IV. Provider business mailing address

200 N VILLAGE AVE SUITE 300
ROCKVILLE CENTRE NY
11570-2341
US

V. Phone/Fax

Practice location:
  • Phone: 516-536-8151
  • Fax: 516-536-8153
Mailing address:
  • Phone: 516-536-8151
  • Fax: 516-536-8153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LOUIS SAFFRAN
Title or Position: OWNER
Credential: M.D.
Phone: 516-536-8151