| Doctor Name: | JENNIFER SANFORD |
| NPI Number: | 1194046946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 381624 |
| Business Practice Address: | 701 Route 25a Suite B3 Mount Sinai, NY - 117662050 |
| Business Phone Number: | 6314767676 |
| Business Fax Number: | 6314767675 |
| Mailing Address: | 701 Route 25a, Suite B3 MOUNT SINAI |
| State: | NY |
| Postal Code: | 117662050 |
| Phone Number: | 6314767676 |
| Fax Number: | 6314767675 |
| NPI Enumeration Date: | 06/16/2010 |
| NPI Last Update Date: | 03/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 381624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |