Individual
DR. ADENA E SHOSHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
160 ALLENS CREEK RD, ROCHESTER, NY 14618-3309
(585) 454-9904
(585) 286-4487
Mailing address
160 ALLENS CREEK RD, ROCHESTER, NY 14618-3309
(585) 454-9904
(585) 286-4487
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12423485
CAQH
—
Enumeration date
08/11/2012
Last updated
08/11/2012
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