MEDICARE: NAOMI SHEINSHNEIDER I

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1578134805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI SHEINSHNEIDER I

Provider Business Mailing Address
First Line	:	1312 38TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3612
Country	:	US
Telephone Number	:	718-686-3700
Fax Number	:	718-853-1060

Provider Business Practice Location Address
First Line	:	5622 17TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1834
Country	:	US
Telephone Number	:	347-585-3070
Fax Number	:	718-853-1060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2021
Last Update Date	:	07/07/2021

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Directions to “ NAOMI SHEINSHNEIDER I ” Practice Location

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