Healthcare Provider Details

I. General information

NPI: 1740198332
Provider Name (Legal Business Name): MEGAN MARIE SANCHEZ CASAC-T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1164 RIVER AVE APT 17F
BRONX NY
10452-0216
US

IV. Provider business mailing address

1164 RIVER AVE APT 17F
BRONX NY
10452-0216
US

V. Phone/Fax

Practice location:
  • Phone: 917-862-0111
  • Fax:
Mailing address:
  • Phone: 917-862-0111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number42495
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: