Provider Demographics
NPI:1871841122
Name:SANCHEZ, CRISTINA
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 W 142ND ST
Mailing Address - Street 2:APT. 4N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-6722
Mailing Address - Country:US
Mailing Address - Phone:631-487-6816
Mailing Address - Fax:
Practice Address - Street 1:540 W 142ND ST.
Practice Address - Street 2:APT. 4N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-6722
Practice Address - Country:US
Practice Address - Phone:631-487-6816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program