Individual
MINERVA SANCHEZ-MAHARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3221
Mailing address
30 FALLON RD, BAY SHORE, NY 11706-1302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30 306569
NY
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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