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Individual

SASHA SELIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
Mailing address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
047904
NY
2251P0200X
Pediatric Physical Therapist

Other

Enumeration date
06/18/2021
Last updated
02/01/2023
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