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1053886390
SHOSHANA FIREWORKER
BROOKLYN, NY
NPI
1053886390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022720)
Enumeration Date
2018-10-12
Last Update Date
2018-10-12
Business Address
SHOSHANA FIREWORKER PA
4802 10TH AVE
BROOKLYN, NY 11219-2916
Phone number: 718-283-6000
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Mailing Address
SHOSHANA FIREWORKER PA
1755 E 24TH ST
BROOKLYN, NY 11229-2403
Phone number: 917-734-9696
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