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
Phone: (914) 633-7200
Fax: (914) 633-7217
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720070733 | NPPES |
Other | 2200986 | UNITED HEALTHCARE | |
Other | P2736693 | UNITED HEALTHCARE | |
MEDICAID | 02292942 | UNITED HEALTHCARE |
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