Individual
DR. SANDRA TACCAD-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2125 RIVER RD STE 103, SCHENECTADY, NY 12309-1108
(518) 382-8350
(518) 382-0345
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
213288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401461005
BSNENY
NY
05
—
01724616
—
NY
01
—
062AN1
EMPIRE BC
NY
01
—
070119000049
FIDELIS
NY
01
—
10020322
CDPHP
NY
01
—
200202
SENIOR WHOLE HEALTH
NY
01
—
5666441
AETNA
NY
01
—
603335
MVP-ENDOCRINOLOGY
NY
01
—
603336
MVP
NY
01
—
67895
GHI/HMO
NY
Enumeration date
07/30/2006
Last updated
10/02/2023
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