MEDICARE: DR. JOEL A SENDER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	132978	NY
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	132978	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	272892195	OTHER	NY	SBH PHYSICIANS, P.C.

General Provider Information

NPI Number	:	1508828609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL A SENDER M.D.

Provider Business Mailing Address
First Line	:	4422 3RD AVE FL 4
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-2594
Country	:	US
Telephone Number	:	718-960-3100
Fax Number	:	718-960-5049

Provider Business Practice Location Address
First Line	:	4422 3RD AVE FL 4
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-2594
Country	:	US
Telephone Number	:	718-960-3100
Fax Number	:	718-960-5049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	01/17/2019

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