| Doctor Name: | MS. RITA ILUMINADA SANCHEZ |
| NPI Number: | 1063569739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD. |
| License Number: | 233996-1 |
| Business Practice Address: | 255 Glen Cove Rd Carle Place, NY - 115141207 |
| Business Phone Number: | 5168771798 |
| Business Fax Number: | |
| Mailing Address: | 260 Middle Neck Rd Apt 2m, GREAT NECK |
| State: | NY |
| Postal Code: | 110211160 |
| Phone Number: | 5165081351 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 233996-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |