Provider Demographics
NPI:1710167069
Name:SANCHEZ, MARK FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:FRANK
Last Name:SANCHEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:624 MCCLELLAN ST
Mailing Address - Street 2:SUITE G05
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1020
Mailing Address - Country:US
Mailing Address - Phone:518-347-5537
Mailing Address - Fax:518-347-5064
Practice Address - Street 1:624 MCCLELLAN ST
Practice Address - Street 2:SUITE G05
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1020
Practice Address - Country:US
Practice Address - Phone:518-347-5537
Practice Address - Fax:518-382-2295
Is Sole Proprietor?:No
Enumeration Date:2007-11-04
Last Update Date:2016-05-05
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Provider Licenses
StateLicense IDTaxonomies
NY246574208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02956398Medicaid
NYJ400057522Medicare PIN