Healthcare Provider Details

I. General information

NPI: 1164343737
Provider Name (Legal Business Name): SHERYL BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 AVENUE H APT 4H
BROOKLYN NY
11210-3312
US

IV. Provider business mailing address

3310 AVENUE H APT 4H 4H
BROOKLYN NY
11210-3312
US

V. Phone/Fax

Practice location:
  • Phone: 718-598-8678
  • Fax: --
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number131549
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: