MEDICARE: MS. EVA SARKANY MS., RD., CDN.

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	133V00000X	Registered Dietitian	005565-1	NY

General Provider Information

NPI Number	:	1326266156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVA SARKANY MS., RD., CDN.

Provider Business Mailing Address
First Line	:	6116 184TH ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11365-2117
Country	:	US
Telephone Number	:	917-319-3434
Fax Number	:	718-539-2544

Provider Business Practice Location Address
First Line	:	120 E 79TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-0319
Country	:	US
Telephone Number	:	917-319-3434
Fax Number	:	718-539-2544

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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