Sandra Carrera, M.D.
Individual provider Active NPI Pediatrics Physician · Sunnyside, NY
NPI 1003136243 · NPPES record last updated Sep 1, 2015
Key facts
- NPI
- 1003136243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 258060 (NY)
- Practice address
- 4224 Greenpoint Ave
Sunnyside, NY 11104-3004 - Phone
- (718) 482-6814
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258060 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carla Lucacel MD PC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 258060 | NY | Yes |
Addresses
Primary practice location
4224 Greenpoint Ave
Sunnyside, NY 11104-3004
Mailing address
13705 249TH St
Rosedale, NY 11422-2241
Other providers in Sunnyside, NY
- Paulina Alicia Campbell-Richards
- Diane Capasella
- Florenta Caprer
- Carla Lucacel MD PC
- Diane O'Sullivan Carney
- Xavier Carroll
- Expedito H Castillo
- Amada Edna Castro
- Mary K Caulfield Davis
- Laureta Caushaj
All providers in Sunnyside, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.