National Provider Identifier
Sandra Thananart, MD
Sandra Thananart, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 277-2170.
Profile Overview
- NPI
- 1669527263
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- January 24, 2007
- Last Updated
- June 25, 2008
Practice Location
- 821 Cliff St
- Ithaca, NY 14850-2017
Phone: (607) 277-2170
Mailing Address
- 1001 W Fayette St
- Suite 400
- Syracuse, NY 13204-2859
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1669527263
- Entity Type
- Individual
- Last Name
- Thananart
- First Name
- Sandra
- Credential
- MD
- Mailing Street Address
- 1001 W Fayette St
- Mailing Address Line 2
- Suite 400
- Mailing City
- Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13204-2859
- Mailing Country
- US
- Mailing Phone
- (315) 472-1488
- Mailing Fax
- (315) 472-8060
- Practice Street Address
- 821 Cliff St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2017
- Practice Country
- US
- Practice Phone
- (607) 277-2170
- Practice Fax
- (607) 277-2329
- Enumeration Date
- January 24, 2007
- Last Updated
- June 25, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 02869381 (NY)