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

Shoshana Fawkes

Individual provider Pediatric Occupational Therapist · NPI 1114172574

Shoshana Fawkes is a Pediatric Occupational Therapist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

21540 41st Ave Unit 1J
Bayside, NY 11361
Phone: (516) 319-6446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 011862 (NY)

Record details

NPI number1114172574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2008
Last updated in NPPESNovember 25, 2008

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