Shoshana Sussman, ANP / GNP BC is a
Nurse Practitioner - Adult Health physician based in Valley Stream, New York. Shoshana Sussman is licensed to practice in New York (license number 307970) and her current practice location is 822 Glenridge Ave, Valley Stream, New York. She can be reached at her office (for appointments etc.) via phone at
(646) 270-7319.
NPI number for Shoshana Sussman is 1891381604 and her current mailing address is 822 Glenridge Ave, Valley Stream, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891381604.
Physician's Profile
Full Name | Shoshana Sussman |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 822 Glenridge Ave, Valley Stream, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891381604
- Provider Enumeration Date: 12/15/2020
- Last Update Date: 12/15/2020
Medical Identifiers
Medical identifiers for Shoshana Sussman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891381604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QG0300X | Family Medicine - Geriatric Medicine | 307970 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 307970 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shoshana Sussman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shoshana Sussman, ANP / GNP BC 822 Glenridge Ave, Valley Stream, NY 11581-3019 Ph: (646) 270-7319 | Shoshana Sussman, ANP / GNP BC 822 Glenridge Ave, Valley Stream, NY 11581-3019 Ph: (646) 270-7319 |
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