Individual
DARRELL C. SANDEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3900
Mailing address
PO BOX 409213, ATLANTA, GA 30384-9213
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
199140-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0159Q1
BLUECROSS BLUESHIELD
NY
05
—
02043378
—
NY
Enumeration date
12/21/2005
Last updated
07/08/2007
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