Provider Information for 1073084414
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NASTASSJA HARPER-SMITH LCSW
Sex: Female
NPI: 1073084414
Last Updated: 2024-10-15
Certification Date: 2024-10-15
Certification Date: 2024-10-15
Details
| Name | Value | ||||||||||||||||
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| NPI | 1073084414 | ||||||||||||||||
| Enumeration Date | 2018-12-11 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 118 E 124TH ST UNIT 836 NEW YORK, NY 10035-9142 United States Phone: | Fax: | ||||||||||||||||
| Primary Practice Address | 118 E 124TH ST UNIT 836 NEW YORK, NY 10035-9142 United States Phone: 646-543-4151 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 1919 MADISON AVE APT 600 | ||||||||||||||||
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