Provider Demographics
NPI:1629419205
Name:POMERANTZ, SANDRA (MBA)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:POMERANTZ
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W 45TH ST APT 4E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-3855
Mailing Address - Country:US
Mailing Address - Phone:212-585-7934
Mailing Address - Fax:
Practice Address - Street 1:330 W 45TH ST APT 4E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-3855
Practice Address - Country:US
Practice Address - Phone:212-585-7934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information