Most Relevant Information
Provider Data
| NPI Number: | 1003373119 |
| Provider Name: | AVIVA TZIPORA SANDEL MS |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/25/2019 |
| Last Updated: | 02/25/2019 |
Provider Practice Location
1312-38 STREET
BROOKLYN
NY
11218
Practice Location Phone/Fax
| Phone: | 7186863700 |
| Fax: |
Provider Mailing Location
1312-38 STREET
BROOKLYN
NY
11218
Provider Mailing Phone/Fax
| Phone: | 7186863700 |
| Fax: |