Provider Demographics
NPI:1770891202
Name:LASPINA, SANDRA (APPEARANCE ENHANCEME)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:LASPINA
Suffix:
Gender:F
Credentials:APPEARANCE ENHANCEME
Other - Prefix:MR
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:BIRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APPEARANCE ENHANCEME
Mailing Address - Street 1:947 S LAKE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-3255
Mailing Address - Country:US
Mailing Address - Phone:845-628-3439
Mailing Address - Fax:845-628-4838
Practice Address - Street 1:947 S LAKE BLVD STE D
Practice Address - Street 2:SUITE D.
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-3255
Practice Address - Country:US
Practice Address - Phone:845-628-3439
Practice Address - Fax:845-628-4838
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist