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 |
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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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