Healthcare Provider Details

I. General information

NPI: 1922943141
Provider Name (Legal Business Name): MS. SHARLENE MINIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 WEBSTER AVE
BRONX NY
10457-2439
US

IV. Provider business mailing address

2962 DECATUR AVE APT 6B
BRONX NY
10458-2342
US

V. Phone/Fax

Practice location:
  • Phone: 718-584-0832
  • Fax:
Mailing address:
  • Phone: 929-338-8335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: