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General NPI Number Information
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NPI Number | 1053330100
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Entity Type | Individual
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Provider Name | SHEILLA PHILEMOND PHYSICAL ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 506 6TH ST NEW YORK METHODIST HOSPITAL CENTER
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-5942
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Fax | 718-780-3287
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Provider Business Mailing Address
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Address Line | 1447 ROYCE ST APT 3G
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City | BROOKLYN
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State | NY
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Zip | 11234-5936
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Country | US
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Telephone | 347-668-3532
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Fax | 718-245-5474
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 008560-1
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License Number State | NY
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