Healthcare Provider Details

I. General information

NPI: 1902035249
Provider Name (Legal Business Name): SHERI TOIV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925A KINGS HWY
BROOKLYN NY
11229-1805
US

IV. Provider business mailing address

2925A KINGS HWY
BROOKLYN NY
11229-1805
US

V. Phone/Fax

Practice location:
  • Phone: 718-382-0045
  • Fax: 718-859-7157
Mailing address:
  • Phone: 718-382-0045
  • Fax: 718-859-7157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number006263
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: