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Individual
LISA T SANDLER
Active
Individual
LISA T SANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012263
NY STATE DEPT OF EDUCATION
NY
Enumeration date
07/07/2008
Last updated
12/19/2014
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