Provider Demographics
NPI:1932881273
Name:SANCHEZ, YOLANDA OLIVIA
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:OLIVIA
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 1:1078 SUMMIT AVE # 706
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-3438
Mailing Address - Country:US
Mailing Address - Phone:347-706-4531
Mailing Address - Fax:
Practice Address - Street 1:16 TROY ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-3836
Practice Address - Country:US
Practice Address - Phone:347-706-4531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management