Individual
DR. HERVEY ALLEN SANDE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
451 CLARKSON AVENUE, KINGS COUNTY HOSPITAL OPD PODIATRY CLINIC, BROOKLYN, NY 11203
(718) 245-3545
Mailing address
9921 FOURTH AVENUE, 2F, BROOKLYN, NY 11209-8348
(718) 680-2968
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00405409
—
NY
Enumeration date
01/09/2006
Last updated
07/08/2007
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