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NPI Code Detail

MEDICARE: DR. DAVID JAMES SANDNESS MD

MEDICARE:  DR. DAVID JAMES SANDNESS  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
12084A2900XNeurocritical Care Physician330574NY

General Provider Information

NPI Number : 1457970402
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID JAMES SANDNESS MD
Provider Business Mailing Address
First Line : 601 ELMWOOD AVE BOX 278984
Second Line :
City : ROCHESTER
State : NY
Zip : 14642-0001
Country : US
Telephone Number : 585-275-2530
Fax Number :
Provider Business Practice Location Address
First Line : 4901 LAC DE VILLE BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-5647
Country : US
Telephone Number : 585-275-2530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2020
Last Update Date : 05/26/2026

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Directions to “ DR. DAVID JAMES SANDNESS MD” Practice Location

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