1790874964 NPI number — DR. CARL-HENRI SANCHEZ M.D.

Table of content: DR. CARL-HENRI SANCHEZ M.D. (NPI 1790874964)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790874964 NPI number — DR. CARL-HENRI SANCHEZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANCHEZ
Provider First Name:
CARL-HENRI
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790874964
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
108 W SUFFOLK AVE UNIT B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CENTRAL ISLIP
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11722-2165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-231-4681
Provider Business Mailing Address Fax Number:
631-231-4398

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
108 W SUFFOLK AVE UNIT B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTRAL ISLIP
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11722-2165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-231-4681
Provider Business Practice Location Address Fax Number:
631-231-4398
Provider Enumeration Date:
10/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  200355 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1000015652 . This is a "AFFINITY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1849033 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0576058 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2022723 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01200355NY01 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0H933P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112013 . This is a "VYTRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200355-A30 . This is a "HEALTH FIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4257334-005 . This is a "GIGNA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 110229955 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2596536 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01628046 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2C6060 . This is a "ACS/PCS/HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 81246A . This is a "MAGNACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: SC0355 . This is a "ATLANTIS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001533792003 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com