MEDICARE: SAHAY MEDICAL GROUP PC

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	2084N0600X	Clinical Neurophysiology Physician	216991	NY
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1417179326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAHAY MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	28 HIGH FARMS RD
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-2223
Country	:	US
Telephone Number	:	516-739-3030
Fax Number	:	516-739-3044

Provider Business Practice Location Address
First Line	:	400 GARDEN CITY PLZ
Second Line	:	STE#111
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-3322
Country	:	US
Telephone Number	:	516-739-3030
Fax Number	:	516-739-3044

Authorized Official
Title or Position	:	MD
Name	:	DR. EVA SAHAY
Credential	:	MD
Telephone Number	:	516-739-3030

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	06/17/2009

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