Individual provider · Type 1 NPI

Shoshana Mirzakanov

Specialist · Rego Park, NY

NPI number 1891681698 Active

Practice location

9928 63rd Ave Apt 3
Rego Park, NY 11374-2117

Call (347) 527-3967 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2598661 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891681698

Shoshana Mirzakanov's National Provider Identifier is 1891681698, issued on Jun 17, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on Jun 17, 2025.