Basic Information
Provider Information
NPI: 1972966711
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAY
FirstName: ROLLIN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5 E 98TH ST
Address2: BOX 1259
City: NEW YORK
State: NY
PostalCode: 100296501
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 10 UNION SQ E # 3A
Address2:  
City: NEW YORK
State: NY
PostalCode: 100033314
CountryCode: US
TelephoneNumber: 2122414812
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2016
LastUpdateDate: 06/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X308637NYY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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