Cunningham, Sandra Jane

Cunningham, Sandra Jane is an individual health care provider with primary practice located at 1400 Pelham Pkwy S , Bronx NY 10461-1138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Cunningham, Sandra Jane can be contacted via phone (718) 918-3060.

Contact Information

Primary practice address
1400 Pelham Pkwy S Bronx NY 10461-1138
Phone: (718) 918-3060
Fax: (718) 918-4469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 172845 New York

Profile Details

NPI number 1164591962
LBN Legal business name Cunningham, Sandra Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1164591962 NPPES
New York MEDICAID 01846900

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