Erin Shooshan is a Medical in Glens Falls, New York. Erin Shooshan practices all healthcare services and medical treatments related to Medical. The NPI Number for Erin Shooshan is 1396749909. The last update date is 2021-06-30.
Erin Shooshan's current location address is 100 Park Street, Glens Falls, New York. You can contact this provider via phone number 5189265924 and fax number 5189266983. The mailing address for Erin Shooshan is 100 Park Street, Glens Falls, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erin Shooshan |
|---|---|
| Address | 100 Park Street, Glens Falls, New York |
| Phone Number | 5189265924 |
| Fax Number | 5189266983 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1396749909 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2021-06-30 |
Provider Mailing Address Detail
| Address | 100 Park Street |
|---|---|
| City | Glens Falls |
| State | New York (NY) |
| Post Code | 1280144130 |
| Phone Number | 5189265924 |
| Fax Number | 5189266983 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 7530 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2347840 | NY | -- |
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What is the Erin Shooshan's unique identification number?
The Erin Shooshan has been assigned the NPI (National Provider Identifier) Number 1396749909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Erin Shooshan?
The Erin Shooshan is physically situated at 100 Park Street, in the city of Glens Falls, state of NY, with the postal code 1280144130.
What is Erin Shooshan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Erin Shooshan's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396749909 to Erin Shooshan?
The Erin Shooshan received its 1396749909 assignment from the Centers for Medicare & Medicaid Services on 2005-06-10.
When was the Erin Shooshan's information last updated?
The Erin Shooshan's information was last updated on 2021-06-30.
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