MEDICARE: JULIANA SANZANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		NY

General Provider Information

NPI Number	:	1861341521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANA SANZANO

Provider Business Mailing Address
First Line	:	1326 PINE DR
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-3822
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 E BETHPAGE RD
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-4228
Country	:	US
Telephone Number	:	800-679-3609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ JULIANA SANZANO ” Practice Location

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