Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 243174 | NY |
Y | 207N00000X | Dermatologist | ME102887 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | 243174 | NY |
N | 207ND0101X | MOHS-Micrographic Surgeon | ME102887 | FL |
N | 207ND0900X | Dermatopathologist | 243174 | NY |
N | 207ND0900X | Dermatopathologist | ME102887 | FL |
NPI | 1053440867 |
---|---|
Provider Name | Dr. Fitzgeraldo A. Sanchez |
First Address | New York, NY 10006-1048 |
Second Address | New York, NY 10003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 07/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005970700 | (05) | FL |