Provider Demographics
NPI:1154693554
Name:DILAN, SACHA
Entity type:Individual
Prefix:MRS
First Name:SACHA
Middle Name:
Last Name:DILAN
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 1:1018 E 163RD ST
Mailing Address - Street 2:2G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-4310
Mailing Address - Country:US
Mailing Address - Phone:917-557-3233
Mailing Address - Fax:
Practice Address - Street 1:1018 E 163RD ST
Practice Address - Street 2:2G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-4310
Practice Address - Country:US
Practice Address - Phone:917-557-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021676235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist