Individual
MRS. SANDRA CIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
9962 211TH PL, QUEENS VILLAGE, NY 11429-1145
(718) 810-4478
Mailing address
9962 211TH PL, QUEENS VILLAGE, NY 11429-1145
(718) 810-4478
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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