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Contact Information

BASIRAT SHOBERU, PHARMD, BCPPS
3415 BAINBRIDGE AVE
BRONX, NY10467-2403
 Phone: 718-528-2254
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

1835P0200X
Indicates primary specialty

NPI Profile & details for BASIRAT SHOBERU · (Female)

NPI # 1023589918
Status Active
Credentials PHARMD, BCPPS
Entity Individual
Enumeration date 12/17/2018
Last updated 01/17/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 054508
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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