MEDICARE: DR. SANDRA MYRIAM FEFER-SADLER 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	2080A0000X	Pediatric Adolescent Medicine Physician	207382-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	227	OTHER	NY	HUDSON HEALTH PLAN
2	132632069	OTHER	NY	BUSINESS NPI
3	232ZA1	OTHER	NY	EMPIRE BC AND BS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245211309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA MYRIAM FEFER-SADLER M.D.

Provider Business Mailing Address
First Line	:	24 SAYMOR DR
Second Line	:
City	:	BARDONIA
State	:	NY
Zip	:	10954-2152
Country	:	US
Telephone Number	:	845-624-3571
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 NEW MAIN ST
Second Line	:	SANDRA SADLER PEDIATRICS
City	:	HAVERSTRAW
State	:	NY
Zip	:	10927-1810
Country	:	US
Telephone Number	:	845-786-0000
Fax Number	:	866-520-3592

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	05/30/2013

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