Active NPI
Myrna Sanchez
- Specialist
- Malone, NY
National Provider Identifier
1033165956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 184388
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01421618 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.