Individual
AVIS A SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PIERRE POINT PLAZA, BROOKLYN, NY 11201
(718) 576-3950
(718) 576-3539
Mailing address
242 FOUNTAIN AVE FL 2, BROOKLYN, NY 11208-2516
(718) 576-3950
(718) 576-3539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1347674192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829760448
NEW YORK STATE DRIVERS LICENSE
NY
Enumeration date
09/10/2019
Last updated
09/10/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us