Individual
DR. SANDRA L EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4245 UNION RD, CHEEKTOWAGA, NY 14225
(716) 839-0881
Mailing address
4245 UNION RD STE 105, CHEEKTOWAGA, NY 14225-5040
(716) 634-4175
(716) 634-2679
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
182462-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01422742
—
NY
Enumeration date
08/31/2006
Last updated
08/22/2018
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