Provider Information for 1699306621
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ISHANIE SANCHEZ
Sex: Female
NPI: 1699306621
Last Updated: 2023-12-06
Certification Date: 2023-12-06
Certification Date: 2023-12-06
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699306621 | ||||||||||||||||
| Enumeration Date | 2020-01-29 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 69 W 39TH ST APT 2 BAYONNE, NJ 07002-2986 United States Phone: 201-989-4683 | Fax: | ||||||||||||||||
| Primary Practice Address | 600 SAINT ANNS AVE BRONX, NY 10455-2800 United States Phone: 646-276-4038 | Fax: | ||||||||||||||||
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