| Doctor Name: | SANDY DIMANCHE |
| NPI Number: | 1083011621 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDMS |
| License Number: | 170664 |
| Business Practice Address: | 11144 Francis Lewis Blvd Queens Village, NY - 114291751 |
| Business Phone Number: | 2013970496 |
| Business Fax Number: | |
| Mailing Address: | 11144 Francis Lewis Blvd, QUEENS VILLAGE |
| State: | NY |
| Postal Code: | 114291751 |
| Phone Number: | 2013970496 |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | 170664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |