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Individual

ASHA GAIL GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FMHNP

Contact information

Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(212) 876-2300
Mailing address
108 S KINGMAN RD, SOUTH ORANGE, NJ 07079-2614
(215) 435-6368

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
652453-1
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR15178900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00771400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402337-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982117370
NY
Enumeration date
11/08/2017
Last updated
01/31/2018
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