MEDICARE: PEDRO L SANCHEZ

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	133V00000X	Registered Dietitian	86404505	NY

General Provider Information

NPI Number	:	1710839923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO L SANCHEZ

Provider Business Mailing Address
First Line	:	3440 93RD ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-3744
Country	:	US
Telephone Number	:	917-756-2926
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 93RD ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-3744
Country	:	US
Telephone Number	:	917-756-2926
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ PEDRO L SANCHEZ ” Practice Location

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