| Sanderson Medical Pc | |
|
8515 Main St Briarwood NY 11435-1849 | |
| (718) 523-7186 | |
| Not Available |
| Full Name | Sanderson Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8515 Main St, Briarwood, New York |
| Authorized Official Name and Position | Virgil Thomas Sanderson (PRESIDENT) |
| Authorized Official Contact | 7185237186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanderson Medical Pc 8515 Main St Briarwood NY 11435-1849 Ph: (718) 523-7186 | Sanderson Medical Pc 8515 Main St Briarwood NY 11435-1849 Ph: (718) 523-7186 |
| NPI Number | 1306032305 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306032305 | NPI | - | NPPES |
| 01000908 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 168193 (New York) | Primary |
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