Provider Demographics
NPI:1578752473
Name:SANCHEZ, GRAZIELLA (PT)
Entity Type:Individual
Prefix:
First Name:GRAZIELLA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 MADISON AVE
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1106
Mailing Address - Country:US
Mailing Address - Phone:212-439-9303
Mailing Address - Fax:212-399-9822
Practice Address - Street 1:424 MADISON AVE
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1106
Practice Address - Country:US
Practice Address - Phone:212-439-9303
Practice Address - Fax:212-399-9822
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029077174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist