Individual
MRS. SHOSHANA PERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
806 ROOSEVELT COURT, FAR ROCKAWAY, NY 11691
(718) 471-7993
Mailing address
806 ROOSEVELT COURT, FAR ROCKAWAY, NY 11691
(718) 471-7993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
28809
NY
106H00000X
Marriage & Family Therapist
28809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8081462
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
06/26/2007
Last updated
09/11/2025
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