Provider Demographics
NPI:1356308464
Name:SANCHEZ, ANTONIO ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:ALBERTO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 S END AVE
Mailing Address - Street 2:APARTMENT 32C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1005
Mailing Address - Country:US
Mailing Address - Phone:315-200-7219
Mailing Address - Fax:
Practice Address - Street 1:355 S END AVE APT 32C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280
Practice Address - Country:US
Practice Address - Phone:315-200-7219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2449322084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00357502Medicaid
H11405Medicare UPIN