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1376537134

NPI Code Detail

MEDICARE: DR. GARY S SAPHIRE DPM

MEDICARE: DR. GARY S SAPHIRE DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	002873	NY
2	213EP1101X	Primary Podiatric Medicine Podiatrist	NOO2873	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	KS889	OTHER	NM	MEDICARE ADVANTAGE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0047935	OTHER	NY	GHI
2	4C7788	OTHER	NY	HEALTH NET
4	P89992	OTHER	NY	EMPIRE BLUE CROSS BLUE SH
5	004228473	OTHER	NY	AETNA
6	0528724006	OTHER	NY	CIGNA
7	2306889	OTHER	NY	US HEALTH CARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	263150101	OTHER	NY	HEALTH PLUS
10	KS889	OTHER	NY	OXFORD
11	SP6927	OTHER	NY	CENTERCARE
12	112504358	OTHER	NY	METROPOLITAN LIFE
13	25272	OTHER	NY	UNITED HEALTH CARE
14	000000055293	OTHER	NY	GHI HMO SELECT
15	0000067486	OTHER	NY	LOCAL 285

General Provider Information

NPI Number	:	1376537134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY S SAPHIRE DPM

Provider Business Mailing Address
First Line	:	248 AVENUE P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4934
Country	:	US
Telephone Number	:	718-236-5253
Fax Number	:	718-331-6720

Provider Business Practice Location Address
First Line	:	248 AVENUE P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4934
Country	:	US
Telephone Number	:	718-236-5253
Fax Number	:	718-331-6720

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	02/24/2022

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Directions to “ DR. GARY S SAPHIRE DPM” Practice Location

Language	Start Address	Practice Location

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