Provider Demographics
NPI:1891788808
Name:FOO, SANDRA T (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:T
Last Name:FOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:355 W 52ND ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-6239
Mailing Address - Country:US
Mailing Address - Phone:212-754-2100
Mailing Address - Fax:212-754-2115
Practice Address - Street 1:355 W 52ND ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6239
Practice Address - Country:US
Practice Address - Phone:212-754-2100
Practice Address - Fax:212-754-2115
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY192179-1207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01920507Medicaid
NY01920507Medicaid
NYF75812Medicare UPIN