MEDICARE: DR. FRANK M SANDOR 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	207R00000X	Internal Medicine Physician	096541	NY

General Provider Information

NPI Number	:	1356551006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK M SANDOR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 180
Second Line	:
City	:	OTIS
State	:	MA
Zip	:	01253-0180
Country	:	US
Telephone Number	:	413-269-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 EASTCHESTER RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5911
Country	:	US
Telephone Number	:	718-519-6340
Fax Number	:	718-519-7898

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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