MEDICARE: SH PD WELLNESS FAMILY HEALTH NP, NP IN PSYCHIATRY & RN PRACTICE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QI0500X	Infusion Therapy Clinic/Center
2	363LF0000X	Family Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1891663415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SH PD WELLNESS FAMILY HEALTH NP, NP IN PSYCHIATRY & RN PRACTICE PLLC

Provider Business Mailing Address
First Line	:	3380 BAYCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-1514
Country	:	US
Telephone Number	:	646-770-4136
Fax Number	:

Provider Business Practice Location Address
First Line	:	3380 BAYCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-1514
Country	:	US
Telephone Number	:	646-770-4136
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	DR. SHARONSHAY HUDSON
Credential	:	DNP
Telephone Number	:	914-393-7947

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	10/27/2025

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