Individual
SHOSHANA YETTA GERLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3935
Mailing address
1041 ROSE ST, FAR ROCKAWAY, NY 11691-4744
(718) 471-4784
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007835
NY
Other
Enumeration date
06/12/2006
Last updated
12/18/2007
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