Healthcare Provider Details

I. General information

NPI: 1508002304
Provider Name (Legal Business Name): ZAYDA SANCHEZ DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 11/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 FORT WASHINGTON AVE APT 1M
NEW YORK NY
10040-3930
US

IV. Provider business mailing address

620 FORT WASHINGTON AVE APT 1M
NEW YORK NY
10040-3930
US

V. Phone/Fax

Practice location:
  • Phone: 212-923-5777
  • Fax:
Mailing address:
  • Phone: 212-923-5777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number047941
License Number StateNY

VIII. Authorized Official

Name: MR. MURAT CALKAP
Title or Position: OFFICE MANAGER
Credential:
Phone: 212-923-5777