Organization Active NPI

Myrna Sanchez

  • Specialist
  • Malone, NY
National Provider Identifier
1033165956
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
184388 Issued in NY
Legal business name
MYRNA SANCHEZ
Practice address
183 Park St
Suite 5
Malone, NY 12953-1238
Phone
(518) 483-0482
Fax
(518) 483-6727
NPI assigned
May 25, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Myrna Sanchez, MD
Title
Owner
Phone
(518) 483-0482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 184388 NY Primary

Addresses

Primary practice location

183 Park St
Suite 5
Malone, NY 12953-1238

Mailing address

183 Park St
Suite 5
Malone, NY 12953-1238
Phone (518) 483-0482

Other identifiers 1

IdentifierTypeStateIssuer
01421618MedicaidNY

National Provider Directory

National Provider Directory

Locations

183 Park St
Ste 5
Malone, NY 12953
Phone (518) 481-2801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1033165956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 PARK ST",
            "address_2": "SUITE 5",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531238",
            "telephone_number": "518-483-0482",
            "fax_number": "518-483-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 PARK ST",
            "address_2": "SUITE 5",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531238",
            "telephone_number": "518-483-0482",
            "fax_number": "518-483-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRNA SANCHEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-483-0482",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "184388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01421618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.