Individual
SANDRA HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2007
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
350133
NY
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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