Individual
ANA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 N MAIN ST, FREEPORT, NY 11520-2243
(516) 352-8300
Mailing address
26154 LANGSTON AVE FL 1, GLEN OAKS, NY 11004-1041
(516) 476-0921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344612-01
NY
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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