MEDICARE: SANA USMANI D.O.

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	265392	NY

General Provider Information

NPI Number	:	1346512845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANA USMANI D.O.

Provider Business Mailing Address
First Line	:	239 BOYLE RD
Second Line	:	SUITE #7
City	:	SELDEN
State	:	NY
Zip	:	11784-1955
Country	:	US
Telephone Number	:	631-698-0600
Fax Number	:	631-698-2212

Provider Business Practice Location Address
First Line	:	239 BOYLE RD
Second Line	:	SUITE #7
City	:	SELDEN
State	:	NY
Zip	:	11784-1955
Country	:	US
Telephone Number	:	631-698-0600
Fax Number	:	631-698-2212

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

Provider Enumeration Date	:	01/31/2012
Last Update Date	:	06/24/2012

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Directions to “ SANA USMANI D.O.” Practice Location

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