Provider Demographics
NPI:1962546499
Name:SANCHEZ, JANET I (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:I
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4032 FORLEY ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1427
Mailing Address - Country:US
Mailing Address - Phone:718-779-1479
Mailing Address - Fax:718-779-9246
Practice Address - Street 1:4032 FORLEY ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1427
Practice Address - Country:US
Practice Address - Phone:718-779-1479
Practice Address - Fax:718-779-9246
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196255207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01507253Medicaid
NY07441GMedicare PIN
NY01507253Medicaid