Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A119587 | CA |
NPI | 1013234798 |
---|---|
Provider Name | Dr. Tristan Timothy Sands |
First Address | New York, NY 10032-3726 |
Second Address | New York, NY 10032-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2010 |
Last Update Date | 14/02/2018 |