Provider Demographics
NPI:1306661103
Name:SANDIP SACHAR DDS PC
Entity type:Organization
Organization Name:SANDIP SACHAR DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNNATUMKUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-752-1163
Mailing Address - Street 1:20 E 46TH ST RM 1301
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-9245
Mailing Address - Country:US
Mailing Address - Phone:212-752-1163
Mailing Address - Fax:212-752-1164
Practice Address - Street 1:20 E 46TH ST RM 1301
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-9245
Practice Address - Country:US
Practice Address - Phone:212-752-1163
Practice Address - Fax:212-752-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty