MEDICARE: MICHELE SHULMAN

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	183500000X	Pharmacist	066078	NY

General Provider Information

NPI Number	:	1134763279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE SHULMAN

Provider Business Mailing Address
First Line	:	187 BEACH 142ND ST
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-1251
Country	:	US
Telephone Number	:	917-325-8637
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6007
Country	:	US
Telephone Number	:	718-375-8900
Fax Number	:

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

Provider Enumeration Date	:	11/01/2019
Last Update Date	:	11/25/2024

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Directions to “ MICHELE SHULMAN ” Practice Location

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