Provider Demographics
NPI:1891415675
Name:HEDAYA, SASHA BRONFMAN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SASHA
Middle Name:BRONFMAN
Last Name:HEDAYA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 E 29TH ST APT 40C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7518
Mailing Address - Country:US
Mailing Address - Phone:917-209-2709
Mailing Address - Fax:
Practice Address - Street 1:68 ARCH ST
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6525
Practice Address - Country:US
Practice Address - Phone:917-209-2709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116951104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker