Antazo, Sancho

Antazo, Sancho is an individual health care provider with primary practice located at 3805 65Th St Apt 1E, Woodside NY 11377-2862. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Antazo, Sancho can be contacted via phone (718) 803-3962.

Contact Information

Primary practice address
3805 65Th St Apt 1E Woodside NY 11377-2862
Phone: (718) 803-3962
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 164957 New York

Profile Details

NPI number 1386899797
LBN Legal business name Antazo, Sancho
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2008
Last updated Nov 26th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386899797 NPPES
New York Other 164957 NYS NURSING LICENSE

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