Provider Demographics
NPI:1659490019
Name:ROUZEAU, SASHA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:SASHA
Middle Name:ANNE
Last Name:ROUZEAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:67 ROCKHILL RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1420
Mailing Address - Country:US
Mailing Address - Phone:516-404-2418
Mailing Address - Fax:
Practice Address - Street 1:1959 FRONT ST UNIT 310
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1704
Practice Address - Country:US
Practice Address - Phone:516-340-0337
Practice Address - Fax:516-385-8808
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257686208VP0000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine