MEDICARE: DR. SUSAN YOU SHI MD

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	221715	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	:	1649354036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN YOU SHI MD

Provider Business Mailing Address
First Line	:	1340 ROCKAWAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-2339
Country	:	US
Telephone Number	:	718-257-4333
Fax Number	:	718-257-2121

Provider Business Practice Location Address
First Line	:	1340 ROCKAWAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-2339
Country	:	US
Telephone Number	:	718-257-4333
Fax Number	:	718-257-2121

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1568390219 — ANTONIO STATEN
Practice Location Address:

1310 ROCKAWAY PKWY
BROOKLYN, NY
11236-2339

Practice Phone: 212-380-3030
Practice Fax:

1629045471 — MARY TOUSSAINT-MILORD MD
Practice Location Address:

1314 ROCKAWAY PKWY
BROOKLYN, NY
11236-2339

Practice Phone: 718-255-5908
Practice Fax:

1346217197 — FEMCARE MEDICAL SERVICES LLC
Practice Location Address:

1314 ROCKAWAY PKWY
BROOKLYN, NY
11236-2339

Practice Phone: 718-255-5908
Practice Fax:

1851484901 — BROOKLYN PYSCHIATRIC CENTERS, INC
Practice Location Address:

1310 ROCKAWAY PKWY
BROOKLYN, NY
11236-2339

Practice Phone: 718-257-3400
Practice Fax: 718-257-0178

1992890826 — PRASAD SUNKAVALLI MD
Practice Location Address:

1310 ROCKAWAY PKWY
BROOKLYN, NY
11236-2339

Practice Phone: 718-257-3400
Practice Fax:

1346393162 — JENNIFER MCDONOUGH
Practice Location Address:

1310 ROCKAWAY PKWY
BROOKLYN, NY
11236-2339

Practice Phone: 718-257-3400
Practice Fax: 718-257-0178

Directions to “ DR. SUSAN YOU SHI MD” 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.