=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184234643
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHERRAINE CLEOPATRA BECKFORD NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2020
-----------------------------------------------------
Last Update Date | 10/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 260 W SUNRISE HWY STE 200
-----------------------------------------------------
City | VALLEY STREAM
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11581-1015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-825-3600
-----------------------------------------------------
Fax | 516-823-2051
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 55 WATER ST FL 2
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10041-0010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-680-2888
-----------------------------------------------------
Fax | 516-542-5556
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 11007640
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | F349306
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------