Provider Demographics
NPI:1902992415
Name:SAGER, DAVID ALLEN (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:SAGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 SWISS HILL NORTH
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12748
Mailing Address - Country:US
Mailing Address - Phone:845-482-3219
Mailing Address - Fax:845-482-4450
Practice Address - Street 1:4895 ST RT 52
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12748
Practice Address - Country:US
Practice Address - Phone:845-482-4442
Practice Address - Fax:845-482-4450
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYXIC941Medicare PIN