| Sandel Primary Care Pllc | |
|
3991 Ny-2. Ste 15 Cropseyville NY 12052 | |
| (518) 217-8199 | |
| (678) 737-1094 |
| Full Name | Sandel Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3991 Ny-2. Ste 15, Cropseyville, New York |
| Authorized Official Name and Position | Elizabeth Helen Sandel (OWNER) |
| Authorized Official Contact | 5182178199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandel Primary Care Pllc 3991 Ny-2 Ste 15 Cropseyville NY 12052 Ph: (518) 217-8199 | Sandel Primary Care Pllc 3991 Ny-2. Ste 15 Cropseyville NY 12052 Ph: (518) 217-8199 |
| NPI Number | 1396593083 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 6709321573 |
|---|---|
| Medicare Enrollment ID | O20240717000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396593083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Helen Sandel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265636203 PECOS PAC ID: 2668566407 Enrollment ID: I20070924000537 |
Community Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4164 Route 2, Cropseyville, NY 12502 Phone: 518-213-0450 Fax: 518-279-1716 |