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General NPI Number Information
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NPI Number | 1093694507
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Entity Type | Organization
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Legal Business Name | ELIE SADER, MD, PLLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 30 MYANO LN STE 22
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City | STAMFORD
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State | CT
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Zip | 06902-4532
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Country | US
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Telephone | 203-635-8780
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Fax |
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Provider Business Mailing Address
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Address Line | 136 MADISON AVE # 4648
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City | NEW YORK
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State | NY
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Zip | 10016-6711
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ELIE SADER
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Credential |
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Telephone | 617-671-9365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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