Healthcare Provider Details

I. General information

NPI: 1861926966
Provider Name (Legal Business Name): HRT MANAGEMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2017
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 RICHMOND RD
STATEN ISLAND NY
10304-2313
US

IV. Provider business mailing address

1551 RICHMOND RD
STATEN ISLAND NY
10304-2313
US

V. Phone/Fax

Practice location:
  • Phone: 718-979-4350
  • Fax: 718-979-4825
Mailing address:
  • Phone: 718-979-4350
  • Fax: 718-979-4825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number184145
License Number StateNY

VIII. Authorized Official

Name: DR. FREDERICK L SABIDO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-979-4350