Organization
ADENA SHOSHAN PSYD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADENA SHOSHAN PSYD (PRESIDENT/OWNER)
(585) 454-9904
Entity
Organization
Contact information
Practice address
441 PENBROOKE DR STE 1, PENFIELD, NY 14526-2046
(585) 454-9904
(585) 286-4487
Mailing address
441 PENBROOKE DR STE 1, PENFIELD, NY 14526-2046
(585) 454-9904
(585) 286-4487
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019295
NY
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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