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Individual
SASHA GREENSPAN
Active
Individual
SASHA GREENSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
098757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
1285628552
AGENCY
NY
01
—
WVE061
MEDICARE #
NY
Enumeration date
03/18/2016
Last updated
09/27/2016
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