Provider Demographics
NPI:1184882466
Name:OSHRIN, JUDITH WILMA
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:WILMA
Last Name:OSHRIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6100
Mailing Address - Street 2:DAY REPORTING CENTER, N COUNTY COMPLEX, BLDG #16
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-0099
Mailing Address - Country:US
Mailing Address - Phone:631-853-6283
Mailing Address - Fax:631-853-6254
Practice Address - Street 1:SUFFOLK COUNTY DEPARTMENT OF HEALTH
Practice Address - Street 2:DAY REPORTING CENTER N COUNTY COMPLEX BLDG #16
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-853-6283
Practice Address - Fax:631-853-6254
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)