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Individual

SHOSHANA BRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
749 WESTWOOD AVE, STATEN ISLAND, NY 10314-4355
(917) 690-0622
Mailing address
749 WESTWOOD AVE, STATEN ISLAND, NY 10314-4355

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
11/18/2025
Last updated
11/19/2025
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