Provider Demographics
NPI:1386231637
Name:SANDING, TERESITA LOPEZ (RN)
Entity Type:Individual
Prefix:
First Name:TERESITA
Middle Name:LOPEZ
Last Name:SANDING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TERESITA
Other - Middle Name:SALCEDO
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:26 BEECHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-1702
Mailing Address - Country:US
Mailing Address - Phone:914-471-2174
Mailing Address - Fax:
Practice Address - Street 1:26 BEECHWOOD RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-1702
Practice Address - Country:US
Practice Address - Phone:914-471-2174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY580022163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse