Provider Demographics
NPI:1003139064
Name:SANDEL, PINCHUS (OPHTHALMIC DISPENSER)
Entity Type:Individual
Prefix:
First Name:PINCHUS
Middle Name:
Last Name:SANDEL
Suffix:
Gender:M
Credentials:OPHTHALMIC DISPENSER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 HOOPER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-7902
Mailing Address - Country:US
Mailing Address - Phone:718-875-9000
Mailing Address - Fax:718-875-7331
Practice Address - Street 1:148 HOOPER ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-7902
Practice Address - Country:US
Practice Address - Phone:718-875-9000
Practice Address - Fax:718-875-7331
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007594156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician