Most Relevant Information
Provider Data
| NPI Number: | 1003056185 |
| Provider Name: | SANDRA ZELPHA VIDAL |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 018896-1 |
Most Important Dates
| Enumeration Date: | 03/02/2009 |
| Last Updated: | 03/02/2009 |
Provider Practice Location
1770 STILLWELL AVE
BRONX
NY
104696409
Practice Location Phone/Fax
| Phone: | 7186529790 |
| Fax: |
Provider Mailing Location
3311 GILES PL APT 6F
BRONX
NY
104634315
Provider Mailing Phone/Fax
| Phone: | 3476027009 |
| Fax: |