Individual
ELLEN MARIE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 SOUTH RIVERSIDE AVENUE, THE WESTCHESTER MEDICAL PRATICE PC, CROTON-ON-HUDSON, NY 10520
(914) 271-2424
(914) 271-2551
Mailing address
50 DAYTON LANE, SUITE 202, THE WESTCHESTER MEDICAL PRACTICE PC, PEEKSKILL, NY 10566
(914) 739-0087
(914) 737-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
176447
NY
208000000X
Pediatrics Physician
176447-01
NY
Other
Enumeration date
10/11/2012
Last updated
04/24/2024
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