Provider Demographics
NPI:1902160153
Name:WASHINGTON, ASONTE NATASHA
Entity Type:Individual
Prefix:MS
First Name:ASONTE
Middle Name:NATASHA
Last Name:WASHINGTON
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 1:120 CO OP CITY BLVD
Mailing Address - Street 2:APT. # 7F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-3802
Mailing Address - Country:US
Mailing Address - Phone:646-764-9094
Mailing Address - Fax:
Practice Address - Street 1:120 CO OP CITY BLVD
Practice Address - Street 2:APT. 7F
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-3802
Practice Address - Country:US
Practice Address - Phone:646-764-9094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency