Provider Demographics
NPI:1528001260
Name:SANCHEZ, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
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 1:45 W SUFFOLK AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-2143
Mailing Address - Country:US
Mailing Address - Phone:631-582-2228
Mailing Address - Fax:631-582-4881
Practice Address - Street 1:45 W SUFFOLK AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-2156
Practice Address - Country:US
Practice Address - Phone:631-582-2228
Practice Address - Fax:631-582-4881
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215692208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics