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NPI Code Detail

MEDICARE: SANDRA GARCIA

MEDICARE:   SANDRA  GARCIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1043781545
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA GARCIA
Provider Business Mailing Address
First Line : 3603 BAINBRIDGE AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-1168
Country : US
Telephone Number : 646-348-0665
Fax Number :
Provider Business Practice Location Address
First Line : 3603 BAINBRIDGE AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-1168
Country : US
Telephone Number : 718-450-1372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2018
Last Update Date : 12/09/2018

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Directions to “ SANDRA GARCIA ” Practice Location

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