Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sha-Boss P

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1760118624

Sha-Boss P is a Geriatric Medicine (Internal Medicine) Physician in Brooklyn, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

660 Louisiana Ave
Brooklyn, NY 11239-1526
Phone: (718) 669-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1760118624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hanan Miller — Owner · (718) 377-7988
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address3715 Bedford Ave, Brooklyn, NY 11229-1703

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