Erika Fabiola Sanango

NPI #1992188148 in Rego Park, New York

Provider Information

NPI Number: 1992188148
Entity Type: Individual
Name: Erika Fabiola Sanango
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 7, 2015
Last Updated: Jul 7, 2015

Practice Location

Address: 9777 QUEENS BLVD
City: Rego Park
State: New York
ZIP Code: 11374-3335
Phone: (718) 830-9274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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