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NPI Code Detail

MEDICARE: MS. NA'TASHA SANDERS

MEDICARE: MS. NA'TASHA SANDERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker129294NY

General Provider Information

NPI Number : 1285501197
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NA'TASHA SANDERS
Provider Business Mailing Address
First Line : 7804 PARSONS BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11366-1930
Country : US
Telephone Number : 215-954-9395
Fax Number :
Provider Business Practice Location Address
First Line : 10 CARMELLO RD
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-1319
Country : US
Telephone Number : 845-500-1353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2025
Last Update Date : 10/23/2025

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