Provider Demographics
NPI:1629220710
Name:SANCHEZ, CARMEN ANA (MS, OTR)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:ANA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 QUAKER RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804
Mailing Address - Country:US
Mailing Address - Phone:347-204-4052
Mailing Address - Fax:914-633-3684
Practice Address - Street 1:411 QUAKER RIDGE RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2923
Practice Address - Country:US
Practice Address - Phone:347-204-4052
Practice Address - Fax:914-633-3684
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0131146-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency