Provider Demographics
NPI:1922007400
Name:SINCHAK, JOSEPH R (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:R
Last Name:SINCHAK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:427 GUY PARK AVE
Mailing Address - Street 2:ST. MARY'S HEALTHCARE
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-1054
Mailing Address - Country:US
Mailing Address - Phone:518-841-7430
Mailing Address - Fax:518-841-7121
Practice Address - Street 1:48 ERIE BLVD
Practice Address - Street 2:ST. MARY'S HEALTHCARE, CANAJOHARIE HEALTH CENTER
Practice Address - City:CANAJOHARIE
Practice Address - State:NY
Practice Address - Zip Code:13317-1133
Practice Address - Country:US
Practice Address - Phone:518-673-2573
Practice Address - Fax:518-673-2781
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2013-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY158811-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01700412Medicaid
NY8233OtherM.V.P.
NY10001905OtherC.D.P.H.P.
E47459Medicare UPIN
NYR70033Medicare ID - Type Unspecified