Individual
CLAUDIO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE 1400, HAWTHORNE, NY 10532-2140
(914) 493-7997
(914) 594-4022
Mailing address
22 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1533
(914) 593-1710
(914) 593-1790
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
176457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01422926
—
NY
05
—
7169604
—
NY
Enumeration date
09/29/2005
Last updated
02/15/2016
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