Basic Information
| Provider Information | |||||||||
| NPI: | 1912289828 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAXON | ||||||||
| FirstName: | PENNY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 SEWARD DR | ||||||||
| Address2: | |||||||||
| City: | WOODBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117972609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5168166001 | ||||||||
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| Practice Location | |||||||||
| Address1: | ONE GUSTAVE L. LEVY PLACE BOX 1234 | ||||||||
| Address2: | DEPARTMENT OF RADIOLOGY THE MOUNT SINAI MEDICAL CENTER | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296574 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122417416 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2011 | ||||||||
| LastUpdateDate: | 09/16/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085B0100X | 60260253 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Body Imaging | 2085R0202X | 60260253 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.