Individual
DIANA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 WESTCHESTER AVE, SUITE N-230, WHITE PLAINS, NY 10604-3516
(914) 576-5292
Mailing address
555 BROADWAY, APT 1F, HASTINGS ON HUDSON, NY 10706-1729
(347) 848-9488
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
881507
NY
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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