Healthcare Provider Details

I. General information

NPI: 1306661103
Provider Name (Legal Business Name): SANDIP SACHAR DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E 46TH ST RM 1301
NEW YORK NY
10017-9245
US

IV. Provider business mailing address

20 E 46TH ST RM 1301
NEW YORK NY
10017-9245
US

V. Phone/Fax

Practice location:
  • Phone: 212-752-1163
  • Fax: 212-752-1164
Mailing address:
  • Phone: 212-752-1163
  • Fax: 212-752-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: MISS EMMA KUNNATUMKUL
Title or Position: OFFICE MANAGER
Credential:
Phone: 212-752-1163