MEDICARE: SPORTS AND ENTERTAINMENT PHYSICIANS, P.C.

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	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1180206	OTHER	NY	UHC MPIN
2	4415388	OTHER	NY	AETNA PIN
3	P1997703	OTHER	NY	OXFORD PIN

General Provider Information

NPI Number	:	1326214636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPORTS AND ENTERTAINMENT PHYSICIANS, P.C.

Provider Business Mailing Address
First Line	:	73 SAND PIT RD STE 204
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-4015
Country	:	US
Telephone Number	:	203-212-8000
Fax Number	:	860-261-0704

Provider Business Practice Location Address
First Line	:	73 SAND PIT RD STE 204
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-4015
Country	:	US
Telephone Number	:	203-212-8000
Fax Number	:	860-261-0704

Authorized Official
Title or Position	:	MANAGER
Name	:	JOANNE SBARRA
Credential	:
Telephone Number	:	203-212-8000

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	03/17/2026

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Directions to “SPORTS AND ENTERTAINMENT PHYSICIANS, P.C. ” Practice Location

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