MEDICARE: HENRY SARDAR M.D.

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	208000000X	Pediatrics Physician	207057	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184794471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY SARDAR M.D.

Provider Business Mailing Address
First Line	:	1446 BROADWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-4265
Country	:	US
Telephone Number	:	718-574-4910
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 STOCKHOLM ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-4008
Country	:	US
Telephone Number	:	718-417-5907
Fax Number	:	347-405-8078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	11/20/2025

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Directions to “ HENRY SARDAR M.D.” Practice Location

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