Provider Demographics
NPI:1659551026
Name:SANCHEZ, ZAYDA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZAYDA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 FORT WASHINGTON AVE
Mailing Address - Street 2:APT#1M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-3929
Mailing Address - Country:US
Mailing Address - Phone:212-923-5777
Mailing Address - Fax:
Practice Address - Street 1:620 FORT WASHINGTON AVE
Practice Address - Street 2:APT#1M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3929
Practice Address - Country:US
Practice Address - Phone:212-923-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047941-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics