Individual
SANDRA TATIANA MONAHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MADISON ST, GOUVENEUR, NEW YORK, NY 10002
(212) 238-7504
Mailing address
258 SEARS RD, WEST ISLIP, NY 11795
(631) 539-4789
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021193
NY
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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