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General NPI Number Information
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NPI Number | 1891663415
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Entity Type | Organization
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Legal Business Name | SH PD WELLNESS FAMILY HEALTH NP, NP IN PSYCHIATRY & RN PRACTICE PLLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 3380 BAYCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10475-1514
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Country | US
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Telephone | 646-770-4136
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 BAYCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10475-1514
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Country | US
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Telephone | 646-770-4136
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. SHARONSHAY HUDSON
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Credential | DNP
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Telephone | 914-393-7947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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