Individual
SANDRA DENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57 W BURNSIDE AVE, BRONX, NY 10453-4038
(718) 839-8900
Mailing address
57 W BURNSIDE AVE, BRONX, NY 10453-4038
(718) 839-8900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
251379-1
NY
2084P0800X
Psychiatry Physician
MD435982
PA
2084P0804X
Child & Adolescent Psychiatry Physician
251379-1
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD435982
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022546300001
—
PA
Enumeration date
01/29/2009
Last updated
02/21/2017
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