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NPI Code Detail

MEDICARE: SANDRA QUEVEDO LCSW

MEDICARE: SANDRA QUEVEDO LCSW
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
1104100000XSocial Worker101681NY

General Provider Information

NPI Number : 1619573599
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA QUEVEDO LCSW
Provider Business Mailing Address
First Line : 18 MILLER RD
Second Line :
City : MAHOPAC
State : NY
Zip : 10541-2220
Country : US
Telephone Number : 845-628-2300
Fax Number :
Provider Business Practice Location Address
First Line : 18 MILLER RD
Second Line :
City : MAHOPAC
State : NY
Zip : 10541-2220
Country : US
Telephone Number : 845-628-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2020
Last Update Date : 01/08/2026

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Directions to “ SANDRA QUEVEDO LCSW” Practice Location

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