55 Sandalwood Enterprises INC

NPI #1083691539 in Bronx, New York

Provider Information

NPI Number: 1083691539
Entity Type: Organization
Organization Name: 55 Sandalwood Enterprises INC
Primary Specialty: Specialist
Enumeration Date: Dec 27, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 3400 BAINBRIDGE AVE
Address 2: GREENE MEDICAL ARTS PAVILION 3RD FLOOR
City: Bronx
State: New York
ZIP Code: 10467-2404
Phone: (718) 920-4333

Authorized Official

Name: MS. PHYLLIS ZENKER, AA
Title: GENERAL MANAGER
Phone: (631) 447-7938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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