MEDICARE: MRS. SHOSHANA HABERMAN MD, PHD, FACOG

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	174400000X	Specialist	184135-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447250980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHOSHANA HABERMAN MD, PHD, FACOG

Provider Business Mailing Address
First Line	:	967 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2919
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5014 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3324
Country	:	US
Telephone Number	:	718-283-8943
Fax Number	:	718-283-6818

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	04/08/2014

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