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General NPI Number Information
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NPI Number | 1144393828
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Entity Type | Individual
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Provider Name | GINA SAJNANI DMD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 362 S OYSTER BAY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-3508
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Country | US
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Telephone | 516-336-9058
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Fax |
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Provider Business Mailing Address
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Address Line | 173 E SHORE RD SUITE 201
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City | GREAT NECK
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State | NY
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Zip | 11023-2415
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Country | US
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Telephone | 516-487-8110
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Fax | 518-487-8394
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 051133
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License Number State | NY
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