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Contact Information

SANFORD FAMILY MEDICAL PRACTICE PC
15706 SANFORD AVE
FLUSHING, NY11355-1126
 Phone: 718-353-8933
 Fax: 718-353-8934
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SANFORD FAMILY MEDICAL PRACTICE PC · (Female)

NPI # 1316257397
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2010
Last updated 12/23/2011 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 199863
  • NY Medicaid 01621769
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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