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NPI Code Detail

MEDICARE: SANDRA SANON RN

MEDICARE:   SANDRA  SANON  RN
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
1163WM0102XMaternal Newborn Registered Nurse495492NY
2163WS0200XSchool Registered Nurse495492-1NY

General Provider Information

NPI Number : 1649541459
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA SANON RN
Provider Business Mailing Address
First Line : 14524 221ST ST
Second Line :
City : SPRINGFIELD GARDENS
State : NY
Zip : 11413-3435
Country : US
Telephone Number : 347-768-5639
Fax Number :
Provider Business Practice Location Address
First Line : 14524 221ST ST
Second Line :
City : SPRINGFIELD GARDENS
State : NY
Zip : 11413-3435
Country : US
Telephone Number : 347-768-5639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2012
Last Update Date : 01/25/2012

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