Dave, Sandra Marie

Dave, Sandra Marie is an individual health care provider with primary practice located at 110 Lockwood Ave Suite 202, New Rochelle NY 10801-5028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dave, Sandra Marie can be contacted via phone (914) 633-7200.

Contact Information

Primary practice address
110 Lockwood Ave Suite 202 New Rochelle NY 10801-5028
Fax: (914) 633-7217
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F333498 New York

Profile Details

NPI number 1720070733
LBN Legal business name Dave, Sandra Marie
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 7th, 2012 - about 12 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 1720070733 NPPES
Other 2200986 UNITED HEALTHCARE
Other P2736693 UNITED HEALTHCARE
MEDICAID 02292942 UNITED HEALTHCARE

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