Individual
CINDY DIANA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 PRINCESS AVE, BAY SHORE, NY 11706-1617
(631) 565-5220
Mailing address
41 PRINCESS AVE, BAY SHORE, NY 11706-1617
(631) 565-5220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063462
NY
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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