Provider Demographics
NPI:1104891225
Name:SANCHEZ, RAYMOND (PA)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7401
Mailing Address - Country:US
Mailing Address - Phone:212-475-1900
Mailing Address - Fax:212-474-1900
Practice Address - Street 1:253 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7401
Practice Address - Country:US
Practice Address - Phone:212-475-1900
Practice Address - Fax:212-474-1900
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0034171363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant