Provider Demographics
NPI:1376538108
Name:SANCHEZ, JAVIER L (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:L
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:47 NEW SCOTLAND AVE
Mailing Address - Street 2:MC88
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3412
Mailing Address - Country:US
Mailing Address - Phone:518-262-5127
Mailing Address - Fax:518-262-6453
Practice Address - Street 1:47 NEW SCOTLAND AVE
Practice Address - Street 2:MC88
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:518-262-5127
Practice Address - Fax:518-262-6453
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2023-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY170455-12080P0203X
VA01012785142080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01067436Medicaid
NY01067436Medicaid
NYE66349Medicare UPIN