MEDICARE: SHOSHANA BULOW, PHD

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1861102352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOSHANA BULOW, PHD

Provider Business Mailing Address
First Line	:	4520 WALDO AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-3942
Country	:	US
Telephone Number	:	212-696-8679
Fax Number	:

Provider Business Practice Location Address
First Line	:	4520 WALDO AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-3942
Country	:	US
Telephone Number	:	212-696-8679
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PSYCHOTHERAPIST
Name	:	DR. SHOSHANA M BULOW
Credential	:	LCSW, PHD
Telephone Number	:	212-696-8679

Provider Enumeration Date	:	11/25/2022
Last Update Date	:	11/25/2022

Similar Medicare Providers

1336474261 — SHOSHANA M BULOW LCSW, PHD
Practice Location Address:

4520 WALDO AVE
BRONX, NY
10471-3942

Practice Phone: 212-696-8679
Practice Fax:

1225349962 — GRACE SANNELLA CCC-SLP
Practice Location Address:

3942 E TREMONT AVE
BRONX, NY
10465-2902

Practice Phone: 347-398-8358
Practice Fax:

1457665556 — THERESA M TERRERO MA,CCC-SLP,TSSLD
Practice Location Address:

3942 E TREMONT AVE
BRONX, NY
10465-2902

Practice Phone: 347-398-8358
Practice Fax:

1912216086 — THERAPEUTIC LINKS INC.
Practice Location Address:

3942 E TREMONT AVE
BRONX, NY
10465-2902

Practice Phone: 347-398-8358
Practice Fax:

1174823744 — DR. CECELIA DAVIDSON PH.D.
Practice Location Address:

3942 E TREMONT AVE
BRONX, NY
10465-2902

Practice Phone: 347-398-8358
Practice Fax: 347-398-8359

1275872798 — JACQUELINE BEST
Practice Location Address:

1139 MANOR AVE
BRONX, NY
10472-3942

Practice Phone: 646-382-6261
Practice Fax:

Directions to “SHOSHANA BULOW, PHD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.