Individual
SASHA KOLACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
(718) 470-7000
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F433324
NY
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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