Provider Demographics
NPI:1477649747
Name:SOKOLOFF, SHOSHANA R (MD)
Entity Type:Individual
Prefix:DR
First Name:SHOSHANA
Middle Name:R
Last Name:SOKOLOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 MAIN ST
Mailing Address - Street 2:SUITE 123
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2300
Mailing Address - Country:US
Mailing Address - Phone:413-256-0147
Mailing Address - Fax:
Practice Address - Street 1:409 MAIN ST
Practice Address - Street 2:SUITE 123
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2300
Practice Address - Country:US
Practice Address - Phone:413-256-0147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2008-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA722872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ10578Medicare ID - Type Unspecified