Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 345567 | NY |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 345567 | NY |
NPI | 1396362042 |
---|---|
Provider Name | Mrs. Sasha Winslow |
First Address | New York, NY 10003-1603 |
Second Address | New York, NY 10003-1603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2020 |
Last Update Date | 04/06/2021 |