Provider Demographics
NPI:1134534118
Name:DR. SAPNA K. PANDYA DPM
Entity type:Organization
Organization Name:DR. SAPNA K. PANDYA DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PODIATRIC MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:SAPNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:646-258-4143
Mailing Address - Street 1:666 W END AVE
Mailing Address - Street 2:APT 12B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7461
Mailing Address - Country:US
Mailing Address - Phone:646-258-4143
Mailing Address - Fax:
Practice Address - Street 1:765 AMSTERDAM AVE
Practice Address - Street 2:SUITE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5722
Practice Address - Country:US
Practice Address - Phone:646-258-4143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty