Healthcare Provider Details

I. General information

NPI: 1730968306
Provider Name (Legal Business Name): SHERLY ALKADA M.A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 MCDONALD AVE
BROOKLYN NY
11223-1805
US

IV. Provider business mailing address

2001 HOMECREST AVE
BROOKLYN NY
11229-2711
US

V. Phone/Fax

Practice location:
  • Phone: 718-787-1600
  • Fax:
Mailing address:
  • Phone: 718-314-7894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: