Provider Demographics
NPI:1578605507
Name:ALAN SANDLER
Entity Type:Organization
Organization Name:ALAN SANDLER
Other - Org Name:ROTTERDAM FAMILY FOOTCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-356-0111
Mailing Address - Street 1:1660 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-3806
Mailing Address - Country:US
Mailing Address - Phone:518-356-0111
Mailing Address - Fax:
Practice Address - Street 1:1660 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-3806
Practice Address - Country:US
Practice Address - Phone:518-356-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2512213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004029885Medicaid
NY004029885Medicaid
NY53869BMedicare PIN