Provider Demographics
NPI:1033770417
Name:JOACHIM, SASHA- GAYE SHELINA (FNP)
Entity type:Individual
Prefix:
First Name:SASHA- GAYE
Middle Name:SHELINA
Last Name:JOACHIM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BENCHLEY PL FRNT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-3402
Mailing Address - Country:US
Mailing Address - Phone:347-843-7760
Mailing Address - Fax:347-843-7780
Practice Address - Street 1:120 BENCHLEY PL FRNT 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-3402
Practice Address - Country:US
Practice Address - Phone:347-843-7760
Practice Address - Fax:347-843-7780
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF344919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily