Provider Demographics
NPI:1346855608
Name:SANCHEZ, AARON (MSW)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 75TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1827
Mailing Address - Country:US
Mailing Address - Phone:347-531-5472
Mailing Address - Fax:
Practice Address - Street 1:8614 75TH ST
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1827
Practice Address - Country:US
Practice Address - Phone:347-531-5472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVV95805DMedicaid