Healthcare Provider Details

I. General information

NPI: 1417106089
Provider Name (Legal Business Name): SHERYL A MONROE-HUNTE 17491
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERYL A MONROE-HUNTE CASAC

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 09/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2369 2ND AVE
NEW YORK NY
10035-3108
US

IV. Provider business mailing address

960 HEGEMAN AVE APT.1
BROOKLYN NY
11208-4416
US

V. Phone/Fax

Practice location:
  • Phone: 212-876-2300
  • Fax: 212-722-7618
Mailing address:
  • Phone: 212-876-2300
  • Fax: 212-722-7618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17491
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: