Provider Demographics
NPI:1982271813
Name:VANDEKAR, SASHA
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:VANDEKAR
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 1:142 W 83RD ST APT 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5028
Mailing Address - Country:US
Mailing Address - Phone:347-782-2682
Mailing Address - Fax:
Practice Address - Street 1:142 W 83RD ST APT 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5028
Practice Address - Country:US
Practice Address - Phone:347-782-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical