Individual
TASHAI SURGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3115 AVENUE I APT 1N, BROOKLYN, NY 11210-3818
(917) 803-7287
Mailing address
708 TROY AVE, BROOKLYN, NY 11203-2122
(917) 803-7287
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404443
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2022
Last updated
09/21/2022
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