Individual
SHOSHANAH NATELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 MAIN ST, PORT JEFFERSON, NY 11777-2278
(301) 312-7155
Mailing address
710 MAIN ST, PORT JEFFERSON, NY 11777-2278
(301) 312-7155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
NY
1041S0200X
School Social Worker
Primary
1041C0700X
NY
Other
Enumeration date
02/23/2026
Last updated
03/02/2026
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