Healthcare Provider Details

I. General information

NPI: 1063653400
Provider Name (Legal Business Name): SHEILA B OBRIEN D.C.,B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2009
Last Update Date: 03/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MCLEAN AVE
YONKERS NY
10705-4503
US

IV. Provider business mailing address

36 SEDGWICK AVE
YONKERS NY
10705-4621
US

V. Phone/Fax

Practice location:
  • Phone: 914-375-0050
  • Fax: 914-375-3601
Mailing address:
  • Phone: 914-423-0186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX009712-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: