Individual
DAVID JONATHAN SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
560 NORTHERN BLVD., SUITE 210, GREAT NECK, NY 11021
(516) 482-8826
(516) 482-8828
Mailing address
560 NORTHERN BLVD., SUITE 210, GREAT NECK, NY 11021
(516) 482-8826
(516) 482-8828
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01978005
—
NY
01
—
07892G
GHI MEDICARE
NY
01
—
P00417949
RAILROAD MEDICARE
—
01
—
PEWA21
EMPIRE MEDICARE
NY
Enumeration date
06/15/2005
Last updated
02/21/2012
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