Provider Demographics
NPI:1194571539
Name:SANCHEZ, DIANA (CBD)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 E 120TH ST APT 4K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-3680
Mailing Address - Country:US
Mailing Address - Phone:917-755-0693
Mailing Address - Fax:
Practice Address - Street 1:409 E 120TH ST APT 4K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-3680
Practice Address - Country:US
Practice Address - Phone:917-755-0693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYDSA-107838374J00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula