Provider Demographics
NPI:1952054538
Name:SANDERS, ALMITRA J
Entity Type:Individual
Prefix:
First Name:ALMITRA
Middle Name:J
Last Name:SANDERS
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 1:358 NEPPERHAN AVE APT 8F
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-6549
Mailing Address - Country:US
Mailing Address - Phone:917-432-7160
Mailing Address - Fax:
Practice Address - Street 1:358 NEPPERHAN AVE APT 8F
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-6549
Practice Address - Country:US
Practice Address - Phone:917-432-7160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator