Healthcare Provider Details

I. General information

NPI: 1982529582
Provider Name (Legal Business Name): SHEILA MAKADO PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

INTERFAITH MEDICAL CENTER, 1545 ATLANTIC AVENUE
BROOKLYN NY
11213
US

IV. Provider business mailing address

18 VANDERBILT WAY
VALLEY STREAM NY
11581-2310
US

V. Phone/Fax

Practice location:
  • Phone: 718-613-4000
  • Fax: 718-613-4243
Mailing address:
  • Phone: 718-216-5425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF408713-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: