Individual
SHOSHANAH BALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1426 39TH ST, BROOKLYN, NY 11218-3618
(718) 854-1800
Mailing address
1376 E 10TH ST APT 3, BROOKLYN, NY 11230-5743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
797722
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
797722
NYS LICENSE
NY
Enumeration date
10/19/2021
Last updated
01/20/2026
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