Provider Demographics
NPI:1053686212
Name:GAYLE, SANDRA ESTHER (RN)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:ESTHER
Last Name:GAYLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 HENRY ST
Mailing Address - Street 2:PS 146/SS448
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-2612
Mailing Address - Country:US
Mailing Address - Phone:718-923-4750
Mailing Address - Fax:718-923-4780
Practice Address - Street 1:610 HENRY ST
Practice Address - Street 2:PS 146/SS448
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-2612
Practice Address - Country:US
Practice Address - Phone:718-923-4750
Practice Address - Fax:718-923-4780
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY498990163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse