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NPI Code Detail

MEDICARE: MINDY SANDERS MD

MEDICARE:   MINDY  SANDERS  MD
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
12084N0400XNeurology Physician121128NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447206206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDY SANDERS MD
Provider Business Mailing Address
First Line : 760 MADISON AVE
Second Line :
City : ALBANY
State : NY
Zip : 12208-3428
Country : US
Telephone Number : 518-449-2662
Fax Number : 518-449-1342
Provider Business Practice Location Address
First Line : 760 MADISON AVE
Second Line :
City : ALBANY
State : NY
Zip : 12208-3428
Country : US
Telephone Number : 518-449-2662
Fax Number : 518-449-1342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 07/08/2007

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Directions to “ MINDY SANDERS MD” Practice Location

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