Basic Information
Provider Information
NPI: 1285777011
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANDEL
FirstName: SHERRI
MiddleName: LYNN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 400 EAST MAIN STREET
Address2: MEDICAL AFFIRS
City: MT. KISCO
State: NY
PostalCode: 10549
CountryCode: US
TelephoneNumber: 9146661200
FaxNumber: 9146661965
Practice Location
Address1: 400 EAST MAIN STREET
Address2: MEDICAL AFFIRS
City: MT. KISCO
State: NY
PostalCode: 10549
CountryCode: US
TelephoneNumber: 9146661200
FaxNumber: 9146661965
Other Information
ProviderEnumerationDate: 02/14/2007
LastUpdateDate: 02/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X240490NYY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X240490NYN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home