Individual
SANDY DIMANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
11144 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11429-1751
(201) 397-0496
Mailing address
11144 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11429-1751
(201) 397-0496
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
170664
NY
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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