Provider Demographics
NPI:1235565847
Name:SANCHEZ, NIURKA VANESSA (ONGOING SERVICE COOR)
Entity Type:Individual
Prefix:MRS
First Name:NIURKA
Middle Name:VANESSA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:ONGOING SERVICE COOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 MARION AVE
Mailing Address - Street 2:APT 4D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-4715
Mailing Address - Country:US
Mailing Address - Phone:917-736-0952
Mailing Address - Fax:
Practice Address - Street 1:4 LORRAINE AVE
Practice Address - Street 2:C/O FIRST STEPS
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1222
Practice Address - Country:US
Practice Address - Phone:914-663-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator