Mccloy, Sandra Arlene
Mccloy, Sandra Arlene is an individual health care provider with primary practice located at 80 E Main St Ste 104, Canton NY 13617-1450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mccloy, Sandra Arlene can be contacted via phone (315) 386-8184.Contact Information
Primary practice address
80 E Main St Ste 104
Canton NY 13617-1450
Phone: (315) 386-8184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 143496 | New York |
Profile Details
| NPI number | 1891758371 |
|---|---|
| LBN Legal business name | Mccloy, Sandra Arlene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891758371 | NPPES |
| New York | MEDICAID | 00756978 |
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