Healthcare Provider Details

I. General information

NPI: 1932033552
Provider Name (Legal Business Name): SHERON KALIMA BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1427 WARING AVE
BRONX NY
10469-5733
US

IV. Provider business mailing address

1427 WARING AVE
BRONX NY
10469-5733
US

V. Phone/Fax

Practice location:
  • Phone: 347-327-1375
  • Fax:
Mailing address:
  • Phone: 347-327-1375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF356409-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: