Provider Demographics
NPI:1679662043
Name:SANDLER, DAREN I (DPM)
Entity type:Individual
Prefix:DR
First Name:DAREN
Middle Name:I
Last Name:SANDLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 PUTNAM RD
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524-7447
Mailing Address - Country:US
Mailing Address - Phone:845-788-9114
Mailing Address - Fax:
Practice Address - Street 1:126 PUTNAM RD
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524-7447
Practice Address - Country:US
Practice Address - Phone:845-788-9114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN 005111213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP63551Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER