Healthcare Provider Details

I. General information

NPI: 1578787545
Provider Name (Legal Business Name): SANDRA E GOMEZ-LUNA M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 N CENTRAL AVE
HARTSDALE NY
10530-1987
US

IV. Provider business mailing address

845 N BROADWAY
WHITE PLAINS NY
10603-2403
US

V. Phone/Fax

Practice location:
  • Phone: 914-949-7699
  • Fax:
Mailing address:
  • Phone: 203-390-2424
  • Fax: 203-290-2424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number233932
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: