Individual
PAMELA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
349 CENTRAL AVE APT 3C, LAWRENCE, NY 11559-1616
(929) 394-6665
Mailing address
600 E 125TH ST, NEW YORK, NY 10035-6000
(646) 672-6800
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
721980
NY
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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