Individual ProviderAlexandra SanchezPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address475 Seaview Ave, Staten Island, NY 10305-3436(860) 986-3192PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Sanchez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1659993640Provider TypeIndividualFull NameSanchez, AlexandraGenderFemaleSole ProprietorNoEnumeration Date5/12/2020Last Updated9/3/2020Contact InformationPractice LocationPractice Address475 Seaview Ave, Staten Island, NY 10305-3436Phone(860) 986-3192FaxUnlisted FaxMailing LocationMailing Address143 Lakewood Cir S, Manchester, CT 06040-7086Phone(860) 986-3192FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense025436New York