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Thasiha Owens

Peer Specialist in Valley Stream, NY. Individual provider (NPI-1).

NPI number1053900860
StatusActive
Last updated in NPPESJan 15, 2021

Details

NPI
1053900860
Entity type
Individual (NPI-1)
Name
Thasiha Owens
Sex
Female
Sole proprietor
No
Enumeration date
Jan 15, 2021
Certification date
Jan 15, 2021
Last updated
Jan 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist175T00000XNYYes

Practice location

497 Rockaway Ave
Valley Stream, NY 11581-1909

Phone 718-327-7002

Mailing address

497 Rockaway Ave
Valley Stream, NY 11581-1909

Phone 718-845-2621

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