MEDICARE: MR. JOSEPH R. SINCHAK 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	207Q00000X	Family Medicine Physician	158811-1	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	8233	OTHER	NY	M.V.P.
3	10001905	OTHER	NY	C.D.P.H.P.

General Provider Information

NPI Number	:	1922007400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH R. SINCHAK M.D.

Provider Business Mailing Address
First Line	:	427 GUY PARK AVE
Second Line	:	ST. MARY'S HEALTHCARE
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-1054
Country	:	US
Telephone Number	:	518-841-7430
Fax Number	:	518-841-7121

Provider Business Practice Location Address
First Line	:	48 ERIE BLVD
Second Line	:	ST. MARY'S HEALTHCARE, CANAJOHARIE HEALTH CENTER
City	:	CANAJOHARIE
State	:	NY
Zip	:	13317-1133
Country	:	US
Telephone Number	:	518-673-2573
Fax Number	:	518-673-2781

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	03/22/2013

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