Healthcare Provider Details

I. General information

NPI: 1467071233
Provider Name (Legal Business Name): SHERINA ALLISON LANGDON-GRANT MD, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERINA ALLISON LANGDON MD, MBA

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 MADISON AVE
NEW YORK NY
10016-6711
US

IV. Provider business mailing address

136 MADISON AVE
NEW YORK NY
10016-6711
US

V. Phone/Fax

Practice location:
  • Phone: 929-263-4439
  • Fax: 472-231-7056
Mailing address:
  • Phone: 929-263-4439
  • Fax: 472-231-7056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number325655
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number325655
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: