Healthcare Provider Details

I. General information

NPI: 1346773041
Provider Name (Legal Business Name): SAHAS NARAIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N VILLAGE AVE STE 402
ROCKVILLE CTR NY
11570-1001
US

IV. Provider business mailing address

2000 N VILLAGE AVE STE 402
ROCKVILLE CTR NY
11570-1001
US

V. Phone/Fax

Practice location:
  • Phone: 516-766-2519
  • Fax:
Mailing address:
  • Phone: 516-766-2519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number323720
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: