Provider Demographics
NPI:1861570830
Name:SAINT-AMAND, NATHAN E (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:E
Last Name:SAINT-AMAND
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 1:121 E 60TH ST
Mailing Address - Street 2:#4C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1117
Mailing Address - Country:US
Mailing Address - Phone:212-758-4633
Mailing Address - Fax:212-758-8015
Practice Address - Street 1:121 E 60TH ST
Practice Address - Street 2:#4C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1117
Practice Address - Country:US
Practice Address - Phone:212-758-4633
Practice Address - Fax:212-758-8015
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099118207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY525651Medicare PIN
B15991Medicare UPIN