Provider Demographics
NPI:1174149199
Name:COHEN, SASHA (FNP-C)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 FLATBUSH AVENUE EXT FL 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2903
Mailing Address - Country:US
Mailing Address - Phone:212-271-7200
Mailing Address - Fax:212-271-2775
Practice Address - Street 1:40 FLATBUSH AVENUE EXT
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2903
Practice Address - Country:US
Practice Address - Phone:212-271-7200
Practice Address - Fax:212-271-2775
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN281610363LF0000X
NY346935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily