Provider Demographics
NPI:1538260831
Name:SAFFRAN, RICHARD HENRY (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:HENRY
Last Name:SAFFRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 NORTH BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701
Mailing Address - Country:US
Mailing Address - Phone:914-423-9400
Mailing Address - Fax:914-375-0430
Practice Address - Street 1:984 NORTH BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-423-9400
Practice Address - Fax:914-375-0430
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095559207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00493816Medicaid
0601824004OtherCIGNA
WS013OtherOXFORD
0D2691OtherHEALTHNET
0042510OtherAETNA
44351OtherBLUE CROSS
40825POtherHIP
NY00493816Medicaid
0042510OtherAETNA