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NPI Code Detail

MEDICARE: SHOSHANA WEINDLING M.S. ED

MEDICARE: SHOSHANA WEINDLING M.S. ED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist3525207NY

General Provider Information

NPI Number : 1366781577
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOSHANA WEINDLING M.S. ED
Provider Business Mailing Address
First Line : 1727 51ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-1508
Country : US
Telephone Number : 646-745-7133
Fax Number :
Provider Business Practice Location Address
First Line : 1727 51ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-1508
Country : US
Telephone Number : 646-745-7133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2013
Last Update Date : 02/07/2013

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