MEDICARE: SHOSHANA SUSSMAN ANP / GNP BC

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	307970	NY
2	363LA2200X	Adult Health Nurse Practitioner	307970	NY

General Provider Information

NPI Number	:	1891381604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOSHANA SUSSMAN ANP / GNP BC

Provider Business Mailing Address
First Line	:	822 GLENRIDGE AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-3019
Country	:	US
Telephone Number	:	646-270-7319
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 GLENRIDGE AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-3019
Country	:	US
Telephone Number	:	646-270-7319
Fax Number	:

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

Provider Enumeration Date	:	12/15/2020
Last Update Date	:	12/15/2020

Similar Medicare Providers

1407944564 — RAKESH GUPTA MEDICAL P.C.
Practice Location Address:

834 GLENRIDGE AVE
VALLEY STREAM, NY
11581-3019

Practice Phone: 718-327-2555
Practice Fax: 718-327-9319

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1831279769 — DR. JOSHUA PRERO MD
Practice Location Address:

852 GLENRIDGE AVE
NORTH WOODMERE, NY
11581-3019

Practice Phone: 516-569-3425
Practice Fax:

1447282363 — DR. MICHAEL GRAHAM LENTZ D.C.
Practice Location Address:

308 2ND ST NE
VALLEY CITY, ND
58072-3019

Practice Phone: 701-845-0840
Practice Fax: 701-845-0840

1194065409 — DR. NORMAN H. COOPERSMITH M.D.
Practice Location Address:

304 CRANBERRY DR
HUNTINGDON VALLEY, PA
19006-3019

Practice Phone: 215-947-7631
Practice Fax: 215-947-2868

1225512080 — MIRKA CALAS
Practice Location Address:

1237 DIAMOND VALLEY ST
HENDERSON, NV
89052-3019

Practice Phone: 702-379-4660
Practice Fax:

Directions to “ SHOSHANA SUSSMAN ANP / GNP BC” 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.