Basic Information
Provider Information
NPI: 1467724625
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NIGAR
FirstName: SOFIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: SCARSDALE MEDICAL GROUP
Address2: 600 MAMARONECK AVENUE
City: HARRISON
State: NY
PostalCode: 10528
CountryCode: US
TelephoneNumber: 9147238100
FaxNumber: 9142191928
Practice Location
Address1: SCARSDALE MEDICAL GROUP
Address2: 600 MAMARONECK AVENUE
City: HARRISON
State: NY
PostalCode: 10528
CountryCode: US
TelephoneNumber: 9147238100
FaxNumber: 9142191928
Other Information
ProviderEnumerationDate: 02/03/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RG0100X287079NYY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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