Sassaman, Edward A
Sassaman, Edward A is an individual health care provider with primary practice located at 1850 Brighton Henrietta Town Line Road , Rochester NY 14623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sassaman, Edward A can be contacted via phone (585) 424-6210.Contact Information
Primary practice address
1850 Brighton Henrietta Town Line Road
Rochester NY 14623
Phone: (585) 424-6210
Fax: (585) 424-1202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 197323 | New York |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 197323 | New York |
Profile Details
| NPI number | 1881638740 |
|---|---|
| LBN Legal business name | Sassaman, Edward A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Oct 28th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881638740 | NPPES |
| New York | Other | 00040452902 | UNIVERA # |
| New York | Other | 0191601 | UNIVERA # |
| New York | Other | 101546DL | UNIVERA # |
| New York | Other | P010197323 | UNIVERA # |
| New York | Other | 197323-9W | UNIVERA # |
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