Provider Demographics
NPI:1023478120
Name:KASHIRSKAYA, SOFYA (ATR-BC, LCAT)
Entity type:Individual
Prefix:MS
First Name:SOFYA
Middle Name:
Last Name:KASHIRSKAYA
Suffix:
Gender:F
Credentials:ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 SHELL RD
Mailing Address - Street 2:APT 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-6106
Mailing Address - Country:US
Mailing Address - Phone:718-679-3262
Mailing Address - Fax:516-616-0232
Practice Address - Street 1:2695 SHELL RD
Practice Address - Street 2:APT 3B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-6106
Practice Address - Country:US
Practice Address - Phone:718-679-3262
Practice Address - Fax:516-616-0232
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001711221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist