Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shoshana Fawkes

Individual provider Pediatric Occupational Therapist · NPI 1114172574

Shoshana Fawkes is a Pediatric Occupational Therapist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

21540 41st Ave Unit 1J
Bayside, NY 11361 Not confirmed with CMS for 17 years — call before visiting
Phone: (516) 319-6446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 011862 (NY)

Record details

NPI number1114172574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2008
Last updated in NPPESNovember 25, 2008

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