Provider Demographics
NPI:1457797193
Name:ANDREW K SANDS MD PC
Entity Type:Organization
Organization Name:ANDREW K SANDS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:K
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-416-9430
Mailing Address - Street 1:1050 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1031
Mailing Address - Country:US
Mailing Address - Phone:732-416-9430
Mailing Address - Fax:732-416-9436
Practice Address - Street 1:100 E 77TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1031
Practice Address - Country:US
Practice Address - Phone:732-416-9430
Practice Address - Fax:732-416-9436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty