MEDICARE: ALEXIS SHOOSHANI

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	101YM0800X	Mental Health Counselor		NY

General Provider Information

NPI Number	:	1104784503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS SHOOSHANI

Provider Business Mailing Address
First Line	:	1815 215TH ST APT 17A
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11360-2148
Country	:	US
Telephone Number	:	917-703-9447
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 215TH ST APT 17A
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11360-2148
Country	:	US
Telephone Number	:	917-703-9447
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

Similar Medicare Providers

1235136540 — DR. JOHN ROCCO VERNALEO M.D.
Practice Location Address:

21436 27TH AVE
BAYSIDE, NY
11360-2608

Practice Phone: 718-229-1582
Practice Fax:

1891794798 — DR. PAUL MICHAEL BERGER-GROSS PH.D.
Practice Location Address:

2901 216TH ST
BAYSIDE, NY
11360-2810

Practice Phone: 718-281-8824
Practice Fax:

1306847694 — JOANN FERRARA PT
Practice Location Address:

2391 BELL BLVD , #203
BAYSIDE, NY
11360-2019

Practice Phone: 718-428-2600
Practice Fax: 718-428-7429

1053305912 — JERI E GILBERT PHD
Practice Location Address:

2391 BELL BLVD , STE 202
BAYSIDE, NY
11360-2019

Practice Phone: 718-589-8324
Practice Fax: 718-378-2880

1043205016 — DR. JORDAN SPENCE ZUCKERMAN M.D.
Practice Location Address:

2383 BELL BLVD , UPPER LEVEL
BAYSIDE, NY
11360-2053

Practice Phone: 718-423-0200
Practice Fax: 718-423-3134

1174519268 — DR. MELVIN J. BREITE M.D.
Practice Location Address:

2391 BELL BLVD , SUITE 201
BAYSIDE, NY
11360-2019

Practice Phone: 718-224-2743
Practice Fax: 718-224-5684

Directions to “ ALEXIS SHOOSHANI ” 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.