Provider Demographics
NPI:1790874964
Name:SANCHEZ, CARL-HENRI (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL-HENRI
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 1:108 W SUFFOLK AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-2165
Mailing Address - Country:US
Mailing Address - Phone:631-231-4681
Mailing Address - Fax:631-231-4398
Practice Address - Street 1:108 W SUFFOLK AVE UNIT B
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-2165
Practice Address - Country:US
Practice Address - Phone:631-231-4681
Practice Address - Fax:631-231-4398
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200355207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1000015652OtherAFFINITY HEALTH PLAN
1849033OtherFIRST HEALTH
0576058OtherAETNA
P2022723OtherOXFORD
01200355NY01OtherANTHEM
0H933POtherHIP
112013OtherVYTRA
200355-A30OtherHEALTH FIRST
4257334-005OtherGIGNA HEALTHCARE
110229955OtherRAILROAD MEDICARE
2596536OtherGHI
NY01628046Medicaid
2C6060OtherACS/PCS/HEALTHNET
81246AOtherMAGNACARE
SC0355OtherATLANTIS HEALTH PLAN
001533792003OtherUNITED HEALTHCARE
112013OtherVYTRA
NY01628046Medicaid