MEDICARE: DAVID ALLEN SAGER D.C.

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	111N00000X	Chiropractor	X008550	NY

General Provider Information

NPI Number	:	1902992415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALLEN SAGER D.C.

Provider Business Mailing Address
First Line	:	596 SWISS HILL NORTH
Second Line	:
City	:	JEFFERSONVILLE
State	:	NY
Zip	:	12748
Country	:	US
Telephone Number	:	845-482-3219
Fax Number	:	845-482-4450

Provider Business Practice Location Address
First Line	:	4895 ST RT 52
Second Line	:
City	:	JEFFERSONVILLE
State	:	NY
Zip	:	12748
Country	:	US
Telephone Number	:	845-482-4442
Fax Number	:	845-482-4450

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/08/2010

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