Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 183962 | NY |
N | 2081P2900X | Pain Medicine | 183962 | NY |
NPI | 1225090806 |
---|---|
Provider Name | Nicole Sasson |
First Address | New York, NY 10009-2020 |
Second Address | New York, NY 10017-2439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 31/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F33938 | (02) |