Individual provider · Type 1 NPI
Shoshana Sussman, ANP / GNP BC
Adult Health Nurse Practitioner · Valley Stream, NY
NPI number
1891381604
Active
Practice location
822 Glenridge Ave
Valley Stream, NY 11581-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 307970 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 307970 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1891381604
Shoshana Sussman, ANP / GNP BC's National Provider Identifier is 1891381604, issued on Dec 15, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Valley Stream, NY. The record was last updated on Dec 15, 2020.