Individual
MS. MAYRA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595
(914) 493-7000
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013794
NYS LICENSE
NY
Enumeration date
04/28/2010
Last updated
08/26/2019
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