MEDICARE: SASHA WAINSTEIN

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
1	208800000X	Urology Physician	117965	NY

General Provider Information

NPI Number	:	1437196888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SASHA WAINSTEIN

Provider Business Mailing Address
First Line	:	4720 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2956
Country	:	US
Telephone Number	:	718-436-3900
Fax Number	:	347-448-6261

Provider Business Practice Location Address
First Line	:	3711 88TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7630
Country	:	US
Telephone Number	:	718-478-9292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	06/17/2020

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Directions to “ SASHA WAINSTEIN ” Practice Location

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