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Organization

DAVID J. SANDS, DPM, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID J SANDS DPM (PODIATRIST)
(516) 482-8826
Entity
Organization

Contact information

Practice address
560 NORTHERN BLVD, SUITE 210, GREAT NECK, NY 11021-5100
(516) 482-8826
(516) 482-8828
Mailing address
560 NORTHERN BLVD, SUITE 210, GREAT NECK, NY 11021-5100
(516) 482-8826
(516) 482-8828

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
005419
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01978005
NY
01
07892G
GHI MEDICARE
NY
01
P00417949
RAILROAD MEDICARE
NY
01
PB0241
EMPIRE MEDICARE
NY
Enumeration date
12/11/2006
Last updated
01/05/2010
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