Provider Demographics
NPI:1194801142
Name:PANDYA, SAPNA (DPM)
Entity type:Individual
Prefix:DR
First Name:SAPNA
Middle Name:
Last Name:PANDYA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 WEST END AVENUE
Mailing Address - Street 2:APT.# 12B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:646-991-9000
Mailing Address - Fax:212-362-0346
Practice Address - Street 1:385 FORT WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-6740
Practice Address - Country:US
Practice Address - Phone:646-258-4143
Practice Address - Fax:212-334-8212
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005825213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5644670001Medicare NSC