Individual
MS. SASHA DESHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1847 MOTT AVE, FAR ROCKAWAY, NY 11691-4201
(718) 337-6800
Mailing address
1996 BEDFORD AVE, BROOKLYN, NY 11225-5711
(447) 645-9964
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
747075-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
747075-1
DEPARTMENT OF EDUCATION
NY
Enumeration date
05/22/2018
Last updated
05/22/2018
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