Provider Demographics
NPI:1023106788
Name:SANDLER, BELLA (MD)
Entity type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:SANDLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104-20 QUEENS BLVD
Mailing Address - Street 2:SUITE 1W
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3563
Mailing Address - Country:US
Mailing Address - Phone:718-719-2071
Mailing Address - Fax:718-719-2075
Practice Address - Street 1:104-20 QUEENS BLVD
Practice Address - Street 2:SUITE 1W
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3563
Practice Address - Country:US
Practice Address - Phone:718-719-2071
Practice Address - Fax:718-719-2075
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217915207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH25489Medicare UPIN