Individual
NORA-LYNN SANDIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 543-1831
Mailing address
5 HOLLY PL, EDISON, NJ 08817-3811
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
248943
NY
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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