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Individual

MS. SANDRA DINEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
19 BRADHURST AVE, SUITE 700, HAWTHORNE, NY 10532-2140
(914) 593-7800
(914) 593-7881
Mailing address
PO BOX 5801, NEW YORK, NY 10087-5801
(914) 593-7880
(914) 593-7881

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F386745
NY

Other

Enumeration date
10/21/2011
Last updated
10/21/2011
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