MEDICARE: SHOSHANA FRIEDMAN

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	040551	NY

General Provider Information

NPI Number	:	1275312464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOSHANA FRIEDMAN

Provider Business Mailing Address
First Line	:	1976 OCEAN AVE APT 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6799
Country	:	US
Telephone Number	:	646-258-4625
Fax Number	:

Provider Business Practice Location Address
First Line	:	3411 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2713
Country	:	US
Telephone Number	:	718-693-1957
Fax Number	:

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

Provider Enumeration Date	:	09/26/2023
Last Update Date	:	09/26/2023

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Directions to “ SHOSHANA FRIEDMAN ” Practice Location

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