Provider Demographics
NPI:1013578434
Name:BOWEN, SASHA RASHIDA
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:RASHIDA
Last Name:BOWEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 BEACH 68TH ST
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1316
Mailing Address - Country:US
Mailing Address - Phone:516-972-2343
Mailing Address - Fax:
Practice Address - Street 1:524 BEACH 68TH ST
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1316
Practice Address - Country:US
Practice Address - Phone:516-972-2343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator