MEDICARE: SANJAY SAHAY MD

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	174400000X	Specialist	203818	NY

General Provider Information

NPI Number	:	1790897734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANJAY SAHAY MD

Provider Business Mailing Address
First Line	:	28 HIGH FARMS RD
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-2223
Country	:	US
Telephone Number	:	516-656-3001
Fax Number	:	516-739-3044

Provider Business Practice Location Address
First Line	:	400 GARDEN CITY PLZ
Second Line	:	SUITE#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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/17/2009

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