Basic Information
Provider Information
NPI: 1093902280
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAPORITO
FirstName: ANNA
MiddleName: GABRIELLA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16 EAST 16TH STREET
Address2:  
City: NEW YORK
State: NY
PostalCode: 10003
CountryCode: US
TelephoneNumber: 2126330800
FaxNumber: 2126914610
Practice Location
Address1: 16 E 16TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100033105
CountryCode: US
TelephoneNumber: 2126330800
FaxNumber: 2126914610
Other Information
ProviderEnumerationDate: 10/02/2007
LastUpdateDate: 02/08/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X241781NYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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