Provider Demographics
NPI:1407037393
Name:SAJI FRANCIS MD PC
Entity type:Organization
Organization Name:SAJI FRANCIS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SAJI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-458-3295
Mailing Address - Street 1:4999 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-6201
Mailing Address - Country:US
Mailing Address - Phone:516-799-7700
Mailing Address - Fax:516-798-6984
Practice Address - Street 1:4999 MERRICK RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-6201
Practice Address - Country:US
Practice Address - Phone:516-799-7700
Practice Address - Fax:516-798-6984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207476207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01822393Medicaid
NYG67143Medicare UPIN
NYWEL151Medicare PIN