| Saba Medical Pc | |
|
845 Palmer Ave Mamaroneck NY 10543-2406 | |
| (631) 271-9151 | |
| (631) 271-9155 |
| Full Name | Saba Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 845 Palmer Ave, Mamaroneck, New York |
| Authorized Official Name and Position | Saba Abolahrari (OWNER) |
| Authorized Official Contact | 9175475614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saba Medical Pc Po Box 1785 Mineola NY 11501-0906 Ph: (631) 271-9151 | Saba Medical Pc 845 Palmer Ave Mamaroneck NY 10543-2406 Ph: (631) 271-9151 |
| NPI Number | 1093098022 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 09/26/2011 |
| Medicare PECOS PAC ID | 1254504657 |
|---|---|
| Medicare Enrollment ID | O20111031000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093098022 | NPI | - | NPPES |
| 251481 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 251481 (New York) | Primary |
| Provider Name | Saba Abolahrari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346483377 PECOS PAC ID: 9032268552 Enrollment ID: I20090512000558 |
| Provider Name | Danhong Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457979825 PECOS PAC ID: 0143632349 Enrollment ID: I20201211001878 |
| Provider Name | Shao Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174285498 PECOS PAC ID: 1254702863 Enrollment ID: I20230118002171 |
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