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NPI Code Detail

MEDICARE: EMELIN ROSINA SANCHEZ HICIANO

MEDICARE: EMELIN ROSINA SANCHEZ HICIANO
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1720770753
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMELIN ROSINA SANCHEZ HICIANO
Provider Business Mailing Address
First Line : 933 E COLUMBUS AVE
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01105-2509
Country : US
Telephone Number : 413-296-6185
Fax Number : 413-746-4270
Provider Business Practice Location Address
First Line : 480 WILLIAM F MCCLELLAN HWY STE 302
Second Line :
City : BOSTON
State : MA
Zip : 02128-1389
Country : US
Telephone Number : 857-264-0965
Fax Number : 413-746-4270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2023
Last Update Date : 05/26/2023

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Directions to “ EMELIN ROSINA SANCHEZ HICIANO ” Practice Location

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