Sheena Abraham
Individual provider Active NPI Specialist · New Rochelle, NY
NPI 1053673665 · NPPES record last updated Jun 10, 2012
Key facts
- NPI
- 1053673665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 909587 (NY)
- Practice address
- 20 Cedar St
New Rochelle, NY 10801-5247 - Phone
- (914) 576-5292
- NPI assigned
- Jun 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 909587 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 909587 | NY | Yes |
Addresses
Primary practice location
20 Cedar St
New Rochelle, NY 10801-5247
Mailing address
34 Bennett Ave
Yonkers, NY 10701-6308
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.