Individual
MICHAEL SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 GOVERNORS CT, GREAT NECK, NY 11023-2206
(516) 482-7180
Mailing address
12 GOVERNORS CT, GREAT NECK, NY 11023-2206
(516) 482-7180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
213132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02087176
—
NY
Enumeration date
09/17/2006
Last updated
05/05/2009
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