Individual
SASHA BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TSLD
Contact information
Practice address
904 EAST LAWN DRIVE, TEANECK, NJ 07666
(201) 833-1176
Mailing address
904 EAST LAWN DRIVE, TEANECK, NJ 07666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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