Provider Demographics
NPI:1366808032
Name:SANCHEZ, SANDRA IRIS (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:IRIS
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9137 222ND ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1471
Mailing Address - Country:US
Mailing Address - Phone:718-465-6283
Mailing Address - Fax:718-464-7588
Practice Address - Street 1:9137 222ND ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1471
Practice Address - Country:US
Practice Address - Phone:718-465-6283
Practice Address - Fax:718-464-7588
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY396435-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse