Shoshana Sussman, ANP/GNPBC

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1891381604

Shoshana Sussman, ANP/GNPBC is a Geriatric Medicine (Family Medicine) Physician in Valley Stream, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in: NY
In the registry since: 2020
Specialties on file: 2

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Practice location Address checks out

822 Glenridge Ave
Valley Stream, NY 11581-3019
Phone: (646) 270-7319

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

Specialties & licences

Adult Health Nurse Practitioner (primary)	Taxonomy 363LA2200X · Licence 307970 (NY)
Geriatric Medicine (Family Medicine) Physician	Taxonomy 207QG0300X · Licence 307970 (NY)

Record details

NPI number	1891381604
Entity type	Individual (Type 1)
Gender	Female
Credentials	ANP/GNPBC
Sole proprietor	Yes
NPI enumerated	December 15, 2020
Last updated in NPPES	December 15, 2020
Certification date	December 15, 2020