Healthcare Provider Details

I. General information

NPI: 1710801980
Provider Name (Legal Business Name): SANDRA NAVARRO DR.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 BEECH ST
HOLYOKE MA
01040-3968
US

IV. Provider business mailing address

26 RANDALL WOOD DR
MONTAGUE MA
01351-9701
US

V. Phone/Fax

Practice location:
  • Phone: 413-540-1234
  • Fax: 413-538-5169
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: