Provider Demographics
NPI:1326381575
Name:ASARE, CECILIA (M E D SPEC EDUC)
Entity type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:
Last Name:ASARE
Suffix:
Gender:F
Credentials:M E D SPEC EDUC
Other - Prefix:MRS
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:UDOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M E D SPEC EDUC
Mailing Address - Street 1:30-32 CRAWFORD ST
Mailing Address - Street 2:3FLOOR
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-1100
Mailing Address - Country:US
Mailing Address - Phone:646-696-4980
Mailing Address - Fax:
Practice Address - Street 1:30-32 CRAWFORD ST
Practice Address - Street 2:3FLOOR
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1100
Practice Address - Country:US
Practice Address - Phone:646-696-4980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY$$$$$$$$$OtherSPECIAL EDUCATOR