Provider Demographics
NPI:1952340523
Name:SANDERS, ALAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:M
Last Name:SANDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:32 CARSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-9792
Mailing Address - Country:US
Mailing Address - Phone:518-435-0662
Mailing Address - Fax:518-435-0664
Practice Address - Street 1:404 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-2725
Practice Address - Country:US
Practice Address - Phone:518-435-0662
Practice Address - Fax:518-435-0664
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY181447207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY18N901OtherBLUE CROSS
NY000402901001OtherBLUE SHIELD
NY10001789OtherCDPHP
NY01487796Medicaid
NY01487796Medicaid
NYF72300Medicare UPIN