MEDICARE: DR. KIMBERLY MICHELL 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	2084P0800X	Psychiatry Physician	345317	NY

General Provider Information

NPI Number	:	1780495721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY MICHELL SANCHEZ

Provider Business Mailing Address
First Line	:	134 HAVEN AVE APT 5F
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1051 RIVERSIDE DR
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1007
Country	:	US
Telephone Number	:	212-305-2500
Fax Number	:

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

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	06/09/2026

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