Individual
DR. ALAN R SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2529
(347) 236-3163
Mailing address
162 LENOX RD, WEST BABYLON, NY 11704-4041
(516) 404-0829
(516) 466-7828
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
158140
NY
207RI0008X
Hepatology Physician
158140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03E451
BCBS
NY
01
—
12423P
HIP
NY
05
—
2C8127
—
NY
01
—
41418
VYTRA
NY
01
—
470563
USHC INTERNAL MED
NY
01
—
500936
USHC SPECALITY GI
NY
01
—
76617
VYTRA SPECIALITY GI
NY
01
—
AP817
OXFORD
NY
Enumeration date
09/03/2006
Last updated
03/17/2018
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