Healthcare Provider Details

I. General information

NPI: 1609122449
Provider Name (Legal Business Name): SHEREEN MAY ANSAY VILLAMOR D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEREEN MAY ANSAY D.O.

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 WASHINGTON BLVD
STAMFORD CT
06902-8904
US

IV. Provider business mailing address

170 WASHINGTON BLVD
STAMFORD CT
06902-8904
US

V. Phone/Fax

Practice location:
  • Phone: 203-637-3337
  • Fax: 203-637-3307
Mailing address:
  • Phone: 203-637-3337
  • Fax: 203-637-3307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number0102204491
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number79951
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: