Healthcare Provider Details
I. General information
NPI: 1861770034
Provider Name (Legal Business Name): FRANCES V SACHDEV MSED
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/21/2011
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
465 GRAND ST
NEW YORK NY
10002-4800
US
IV. Provider business mailing address
465 GRAND ST
NEW YORK NY
10002-4800
US
V. Phone/Fax
- Phone: 212-420-1999
- Fax: 212-420-1910
- Phone: 212-420-1910
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: