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1023757788
MARIA ANGELICA SANDOVAL
ROSLYN, NY
NPI
1023757788
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Former Name
MARIA LOPEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 028684)
Enumeration Date
2022-06-01
Last Update Date
2023-10-24
Business Address
MARIA ANGELICA SANDOVAL PA-C
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1353
Phone number: 516-562-6000
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Mailing Address
MARIA ANGELICA SANDOVAL PA-C
88 BENJAMIN DR
PORTSMOUTH, RI 02871-2240
Phone number: 401-297-7027
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