Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | 086690 | NY |
Y | 1041C0700X | Clinical Social Worker | 084977 | NY |
NPI | 1003277492 |
---|---|
Provider Name | Sabina Mohin Saleh |
First Address | Brooklyn, NY 19195 |
Second Address | Brooklyn, NY 19195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2016 |
Last Update Date | 29/11/2016 |