MEDICARE: DR. SANDRA D. NEGRON PSY.D.

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
1	103TC0700X	Clinical Psychologist	012777	NY
2	103TC2200X	Clinical Child & Adolescent Psychologist	012777	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538298914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA D. NEGRON PSY.D.

Provider Business Mailing Address
First Line	:	6344 SAUNDERS ST
Second Line	:	SUITE 103
City	:	REGO PARK
State	:	NY
Zip	:	11374-2039
Country	:	US
Telephone Number	:	718-459-6891
Fax Number	:	718-275-1646

Provider Business Practice Location Address
First Line	:	6344 SAUNDERS ST
Second Line	:	SUITE 103
City	:	REGO PARK
State	:	NY
Zip	:	11374-2039
Country	:	US
Telephone Number	:	718-459-6891
Fax Number	:	718-275-1646

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	09/11/2025

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