Provider Demographics
NPI:1407023138
Name:COMUNILIFE-OASIS GUIDANCE CENTER
Entity Type:Organization
Organization Name:COMUNILIFE-OASIS GUIDANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:718-731-1994
Mailing Address - Street 1:1730 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-8400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1730 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-8400
Practice Address - Country:US
Practice Address - Phone:718-731-1994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health