Provider Demographics
NPI:1023725629
Name:SANDOR, DENISE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:
Last Name:SANDOR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SAIL HARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:CT
Mailing Address - Zip Code:06784-2727
Mailing Address - Country:US
Mailing Address - Phone:914-325-0740
Mailing Address - Fax:
Practice Address - Street 1:GOLDENS BRIDGE SHOPPING CENTER
Practice Address - Street 2:SUITE 203
Practice Address - City:GOLDENS BRIDGE
Practice Address - State:NY
Practice Address - Zip Code:10526
Practice Address - Country:US
Practice Address - Phone:914-325-0740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013784103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist