Healthcare Provider Details

I. General information

NPI: 1447108485
Provider Name (Legal Business Name): SHERRIFFA CAMERON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 MAIN ST
EAST HAVEN CT
06512-3042
US

IV. Provider business mailing address

17 HARDING DR
NEW ROCHELLE NY
10801-4609
US

V. Phone/Fax

Practice location:
  • Phone: 203-467-2102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12.016173
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: