Individual
MRS. SHOSHANA BARASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
535 BRIAR PL, FAR ROCKAWAY, NY 11691-2666
(718) 327-7928
Mailing address
602 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-5615
(718) 868-1851
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014037
NY
Other
Enumeration date
04/18/2007
Last updated
03/23/2012
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