Provider Demographics
NPI:1174858062
Name:SANDOVAL, SANDRA STELLA (RN)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:STELLA
Last Name:SANDOVAL
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Gender:F
Credentials:RN
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Mailing Address - Street 1:1400 PELHAM PKWY S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1138
Mailing Address - Country:US
Mailing Address - Phone:718-918-6910
Mailing Address - Fax:718-918-6519
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:718-918-6910
Practice Address - Fax:718-918-6519
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2023-05-02
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Provider Licenses
StateLicense IDTaxonomies
NY448055163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WX0200XNursing Service ProvidersRegistered NurseOncology