MEDICARE: SAGAMORE MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1164353603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGAMORE MEDICAL PLLC

Provider Business Mailing Address
First Line	:	100 MOTOR PARKWAY
Second Line	:	SUITE LL8
City	:	HAUPPAUGE
State	:	NY
Zip	:	11788
Country	:	US
Telephone Number	:	631-310-5071
Fax Number	:	631-248-5583

Provider Business Practice Location Address
First Line	:	340 HOWELLS RD STE 2B
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-5322
Country	:	US
Telephone Number	:	631-310-5071
Fax Number	:	631-248-5583

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	AMIT SHARMA
Credential	:	MD
Telephone Number	:	917-400-6184

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “SAGAMORE MEDICAL PLLC ” Practice Location

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