| 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  |