Provider Demographics
NPI:1174776751
Name:DELAPENHA, SANDRA ELAINE
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:ELAINE
Last Name:DELAPENHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 UNION SQ E
Mailing Address - Street 2:SUITE 4H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3314
Mailing Address - Country:US
Mailing Address - Phone:212-844-6031
Mailing Address - Fax:212-844-8451
Practice Address - Street 1:10 UNION SQ E
Practice Address - Street 2:SUITE 4H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3314
Practice Address - Country:US
Practice Address - Phone:212-844-6031
Practice Address - Fax:212-844-8451
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY963231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist